Individual
MRS. AMANDA CAROL GLENDENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
331 HOSPITAL DR STE D, LEBANON, MO 65536-9251
(417) 533-6315
Mailing address
11 RIVERFRONT TRL, LEBANON, MO 65536-8652
(417) 533-7390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
117762
MO
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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