Individual
AMY GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2106 LOOP RD, WINNSBORO, LA 71295-3344
(318) 435-9400
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4050
LA
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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