| Doctor Name: | BONNIE GLYNN |
| NPI Number: | 1922366376 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PT3054 |
| Business Practice Address: | 426 Us Route 1 Frenchville, ME - 04745 |
| Business Phone Number: | 2075436648 |
| Business Fax Number: | |
| Mailing Address: | 7540 N 19th Ave Ste 200, PHOENIX |
| State: | AZ |
| Postal Code: | 850217967 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2012 |
| NPI Last Update Date: | 07/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT3054 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |