Individual
DOUGLAS C GLOSUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
12881 N IH 35, LIVE OAK, TX 78233-2966
(210) 742-6555
Mailing address
12881 N IH 35, LIVE OAK, TX 78233-2966
(210) 742-6555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1364301
TX
Other
Enumeration date
08/09/2022
Last updated
06/13/2025
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