Individual
JOSHUA LUCAS GLEESON-WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
15 JANE JACOBS RD STE 202, BLACK MOUNTAIN, NC 28711-6308
(828) 669-8643
Mailing address
272 CONGRESS ST, PORTLAND, ME 04101-3637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16477
NC
225100000X
Physical Therapist
PT5996
ME
Other
Enumeration date
08/11/2016
Last updated
11/02/2021
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