Individual
MR. JOHN EUGENE GLENNON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
228 SMITH CHAPEL RD, MOUNT OLIVE, NC 28365-1917
(919) 658-9522
Mailing address
150 WOODS MILL RD, GOLDSBORO, NC 27534-9122
(919) 330-5309
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7694
NC
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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