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Individual

MR. GLEN EDWARD HUNT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC/PTA

Contact information

Practice address
1508 W INNES ST, SALISBURY, NC 28144-2504
(704) 630-9656
(704) 630-9658
Mailing address
1508 W INNES ST, SALISBURY, NC 28144-2504
(704) 630-9656
(704) 630-9658

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3598
NC
2255A2300X
Athletic Trainer
1201
NC

Other

Enumeration date
10/05/2006
Last updated
04/13/2016
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