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Individual

JOHN GLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 N I HWY 35 E, WAXAHACHIE, TX 75165-5224
(352) 213-4500
Mailing address
111 NE 10TH ST, GAINESVILLE, FL 32601-5645

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2073361
TX

Other

Enumeration date
03/02/2012
Last updated
11/19/2013
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