Individual
TERRENCE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
1205 E WAYNE ST, FORT WAYNE, IN 46803-1088
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003510A
IN
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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