Sidnee Chandelle Glenn, DPT
Physical Therapist in Spokane, WA. Individual provider (NPI-1).
NPI number1962098129
StatusActive
Last updated in NPPESDec 14, 2020
Details
- NPI
- 1962098129
- Entity type
- Individual (NPI-1)
- Name
- Sidnee Chandelle Glenn
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 11, 2020
- Certification date
- Dec 14, 2020
- Last updated
- Dec 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT61049250 | WA | Yes |
Practice location
1110 E Westview CtSpokane, WA 99218-1326
Phone 509-557-5128
Mailing address
2307 W Bridge AveSpokane, WA 99201-1624
Phone 509-557-5128
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