Individual
MR. GLEN A SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
9583 EASTERN VIEW LN, MIDLAND, VA 22728-1803
(609) 682-0594
Mailing address
9583 EASTERN VIEW LN, MIDLAND, VA 22728-1803
(609) 682-0594
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT-2302
ID
225100000X
Physical Therapist
Primary
PT3388
ME
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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