Individual
REBECCA GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
113 S PARKWAY AVE, BATTLE GROUND, WA 98604-9294
(360) 687-1781
Mailing address
113 S PARKWAY AVE, BATTLE GROUND, WA 98604-9294
(360) 687-1781
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA 00021731
WA
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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