Provider Demographics
NPI:1699896043
Name:GLASER-LECLERE, CATHARINE THERESE (MSPT)
Entity type:Individual
Prefix:
First Name:CATHARINE
Middle Name:THERESE
Last Name:GLASER-LECLERE
Suffix:
Gender:
Credentials:MSPT
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:GLASER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10492 LAKERIDGE CT
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:MD
Mailing Address - Zip Code:21774-6641
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1336 BELMONT AVE # 502
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-4595
Practice Address - Country:US
Practice Address - Phone:410-546-2894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18748225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist