Provider Demographics
NPI:1538527007
Name:GLANDER, DEBRA JANE (DPT)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:JANE
Last Name:GLANDER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:JANE
Other - Last Name:HAGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1002 2ND AVE N APT 7
Mailing Address - Street 2:
Mailing Address - City:WAHPETON
Mailing Address - State:ND
Mailing Address - Zip Code:58075-4340
Mailing Address - Country:US
Mailing Address - Phone:218-371-6875
Mailing Address - Fax:
Practice Address - Street 1:1002 2ND AVE N APT 7
Practice Address - Street 2:
Practice Address - City:WAHPETON
Practice Address - State:ND
Practice Address - Zip Code:58075-4340
Practice Address - Country:US
Practice Address - Phone:218-371-6875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-29
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5432225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist