Individual
GLEN SLAYTON WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, LMT
Contact information
Practice address
2726 ELECTRIC RD STE 101, ROANOKE, VA 24018-3528
(540) 989-8974
(540) 989-4695
Mailing address
2726 ELECTRIC RD STE 101, ROANOKE, VA 24018-3528
(540) 989-8974
(540) 989-4695
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005371
VA
Other
Enumeration date
01/15/2011
Last updated
01/15/2011
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