NPI 1699012609

Laurie Anne Glass, PTA

Practitioner Physical Therapy Assistant Glen Rock, NJ

Practice location

Address: 42 Hillman Ave, Glen Rock, NJ 07452-3016
Phone: (201) 670-4985

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 4OQB00266800 (NJ)

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Registry record

NPI: 1699012609
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2013
Record last updated: 10 Jan 2013

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.