GLENN MIRACLE

FRESNO, CA
NPI1831430016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: CA  39881)
Enumeration Date2013-03-12
Last Update Date2013-03-12
Business Address
-- GLENN MIRACLE P.T.
1903 E FIR AVE STE. 102
FRESNO, CA 93720-3862
Phone number: 559-322-1703
Mailing Address
-- GLENN MIRACLE P.T.
1903 E FIR AVE STE. 102
FRESNO, CA 93720-3862
Phone number: 559-322-1703
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