Individual
MR. BRANDON JAY GLASGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2759 A S CLARK, MEXICO, MO 65265
(573) 581-1880
Mailing address
2300 KATY LN, COLUMBIA, MO 65203-5726
(573) 268-0740
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2006023530
MO
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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