Individual
JACLYN C GLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7109
Mailing address
2540 S 700 E APT C, SALT LAKE CITY, UT 84106-1759
(208) 949-6218
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
UT
Other
Enumeration date
05/15/2019
Last updated
12/10/2021
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