Individual
GLENN R CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, DPT
Contact information
Practice address
210 WALMART DR STE 100, BENCHMARK PHYSICAL THERAPY, SODDY DAISY, TN 37379-5022
(423) 332-9490
Mailing address
6697 HICKORY BROOK RD, CHATTANOOGA, TN 37421-1780
(423) 718-4584
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
004764
GA
2251X0800X
Orthopedic Physical Therapist
Primary
2111
TN
Other
Enumeration date
10/06/2006
Last updated
06/02/2008
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