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Organization

GLASS SEATING AND MOBILITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TERESA GLASS OWENS ATS, ATP (PRESIDENT)
(901) 379-0096
Entity
Organization

Contact information

Practice address
1687 N SHELBY OAKS DR, SUITE 9, MEMPHIS, TN 38134-7421
(901) 379-0096
(901) 379-0018
Mailing address
1687 N SHELBY OAKS DR, SUITE 9, MEMPHIS, TN 38134-7421
(901) 379-0096
(901) 379-0018

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0000000805
TN
332B00000X
Durable Medical Equipment & Medical Supplies
06285/11.1
MS
332BC3200X
Customized Equipment (DME)
Primary
0000000805
TN
332BC3200X
Customized Equipment (DME)
06285/11.1
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07089577
MS
05
1454612
TN
Enumeration date
09/29/2006
Last updated
01/08/2008
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