Jade Alize Glenn
Jade Alize Glenn is a Physical Therapy Assistant in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2024.
- Licensed in
- ID
- In the registry since
- 2024
Practice location Address checks out
10790 W Overland RdBoise, ID 83709-1329
Phone: (208) 467-7889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 9081 (ID) |
|---|
Record details
| NPI number | 1831931302 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 6, 2024 |
| Last updated in NPPES | June 6, 2024 |
| Certification date | June 6, 2024 |
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