Glenn Berry

NPI 1376878108 - Physical Therapist - 225100000X

NPI Details
NPI 1376878108
Gender Male
Enumeration Date 10/13/2009
Last Updated 07/09/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
1921 STONECIPHER BLVD
ADA OK, 74820, US
Phone (580) 436-3980
Fax (580) 421-6283
Business Location
1921 STONECIPHER BLVD
ADA OK, 74820, US
Phone (580) 436-3980
Fax (580) 421-6283
Toxanomy
Taxonomy Code 225100000X
License State Missouri
License Number 2009025549
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According to our database, Glenn Berry NPI is 1376878108, taxonomy code is 225100000X and license number is 2009025549, license state is located at Missouri. Glenn Berry physically located at 1921 Stonecipher Blvd, Ada OK, 74820. NPI Number Glenn Berry has the Individual type.

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1376878108 NPI number is provided on an as is basis without warranty of any kind. 1376878108 is maintained by the National Plan & Provider Enumeration System. The contents of Glenn Berry are for informational purposes only.