Individual
DR. PAUL EUGENE GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS,FAAOMPT
Contact information
Practice address
76 BEDFORD ST STE 7, LEXINGTON, MA 02420-4640
(781) 862-0200
(781) 862-0600
Mailing address
76 BEDFORD ST STE 7, LEXINGTON, MA 02420-4640
(781) 862-0200
(781) 862-0600
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11353
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S400277013
PTAN
MA
Enumeration date
05/11/2007
Last updated
01/02/2022
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