| Doctor Name: | MISS LAURA ANN GLENTZ |
| NPI Number: | 1154509750 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, MPT |
| License Number: | 40QA01219400 |
| Business Practice Address: | 313 South Ave Fanwood, NJ - 070231364 |
| Business Phone Number: | 9083012600 |
| Business Fax Number: | 9083012630 |
| Mailing Address: | 313 South Avenue, FANWOOD |
| State: | NJ |
| Postal Code: | 070231325 |
| Phone Number: | 9083012600 |
| Fax Number: | 9083012630 |
| NPI Enumeration Date: | 02/06/2008 |
| NPI Last Update Date: | 02/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 40QA01219400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |