Individual
PTOSHA GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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