Individual
GLENN NOTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2415 E MEADOWBROOK AVE, PHOENIX, AZ 85016-4921
(602) 369-6268
Mailing address
2415 E MEADOWBROOK AVE, PHOENIX, AZ 85016-4921
(602) 369-6268
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0799
WY
225200000X
Physical Therapy Assistant
Primary
9462APTA
AZ
225200000X
Physical Therapy Assistant
A-0901
NM
225200000X
Physical Therapy Assistant
P160320311
WA
225200000X
Physical Therapy Assistant
PTA0013022
CO
225200000X
Physical Therapy Assistant
PTP-PTA-LIC-5973
MT
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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