Individual
GLASCOW P TENNILLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4337 EBENEZER RD, NOTTINGHAM, MD 21236-2143
(410) 529-3303
Mailing address
820 LOWE RD, BALTIMORE, MD 21220-3765
(267) 978-1105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22281
MD
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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