Individual
DR. CALVIN BENJAMIN GLIDDEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, LAT, ATC
Contact information
Practice address
101 HERDNER RD UNIT C, TAOS, NM 87571-5362
(575) 613-1093
(575) 613-1093
Mailing address
928 TIMBER RIDGE CT, BURLESON, TX 76028-2509
(682) 760-5420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
10/15/2020
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