Individual
RONALD J GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3890 COUNTY ROAD, MOUNTAIN HOME, AR 72653
(870) 404-1654
Mailing address
3890 COUNTY ROAD, MOUNTAIN HOME, AR 72653
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1429
AR
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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