Individual
GLENN WILLIAM LOEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9815 ROOSEVELT BLVD, PHILADELPHIA, PA 19114-1035
(215) 677-8200
Mailing address
9815 ROOSEVELT BLVD, PHILADELPHIA, PA 19114-1035
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT031366
PA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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