Individual
HOLLY MARI GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
18187 150TH ST, EDDYVILLE, IA 52553-8139
(641) 777-6141
Mailing address
18187 150TH ST, EDDYVILLE, IA 52553-8139
(641) 777-6141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
01129
IA
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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