Individual
GLENNA MARIA PRIETO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
705 17TH ST, COLUMBUS, GA 31901-3500
(706) 321-0930
Mailing address
108 CLEARWATER DR, LAGRANGE, GA 30241-1524
(706) 885-0912
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001730
GA
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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