Individual
MR. GLENN DAVID PRETTITORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
233 ROCK RD, #236, GLEN ROCK, NJ 07452-1708
(201) 345-7044
(201) 345-7062
Mailing address
233 ROCK RD, #236, GLEN ROCK, NJ 07452-1708
(201) 345-7044
(201) 345-7062
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA00989800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058169
MEDCARE PROVIDER NUMBER
NJ
Enumeration date
05/09/2006
Last updated
04/19/2011
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