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Individual

HAROLD THOMAS GLATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
190 WELLES ST, FORTY FORT, PA 18704-4968
(570) 714-4171
(570) 714-4188
Mailing address
610 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 288-5441
(570) 288-5842

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009687L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101102017
PA
Enumeration date
06/30/2006
Last updated
09/20/2010
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