Individual
SYDNEY LANE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3501 CARRIAGE HILL DR STE A, PARAGOULD, AR 72450-5329
(870) 565-4770
Mailing address
3501 CARRIAGE HILL DR STE A, PARAGOULD, AR 72450-5329
(870) 565-4770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5630
AR
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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