Individual
PATRICIA GLANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SOUTHERN WAY STE 200, COLUMBUS, GA 31904-9204
(706) 324-1934
Mailing address
808 APRIL DR, PHENIX CITY, AL 36869-7891
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA000072
LICENSE#
GA
Enumeration date
11/01/2006
Last updated
07/08/2007
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