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Individual
GLEN CUMBUS
Active
Individual
GLEN CUMBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3681
SC
2251X0800X
Orthopedic Physical Therapist
3681
SC
Other
Enumeration date
02/08/2006
Last updated
04/07/2008
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