Individual
JOHN GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 BRADEN ST, JACKSONVILLE, AR 72076-3719
(501) 743-6855
Mailing address
199 LEWISBURG RD, AUSTIN, AR 72007-9455
(501) 743-6855
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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