Individual
MRS. GLENDALYN E FODRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
200 STRAHL ST, FRANKLIN, TN 37064-3556
(615) 791-1103
(615) 791-7541
Mailing address
1000 WATAUGA CT, THOMPSONS STATION, TN 37179-5340
(615) 791-8793
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6684
TN
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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