Individual
GLEN DAVID MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1450 CRYSTAL LAKE RD, ASPEN SPORTS MEDICINE INSTITUTE, ASPEN, CO 81611-2255
(970) 925-8940
(970) 925-9543
Mailing address
PO BOX 11977, ASPEN, CO 81612-9390
(970) 319-8111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5783
CO
2251S0007X
Sports Physical Therapist
5783
CO
2251X0800X
Orthopedic Physical Therapist
5783
CO
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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