NPI 1477730810
Gwendolyn Frances Glenn, LMT
Practice location
- Address
- 150 Fortenberry Rd Suite E, Merritt Island, FL 32952-3681
- Phone
- (321) 452-2255
- Fax
- (321) 452-8863
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1477730810
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Jan 2008
- Record last updated
- 29 Jan 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.