Individual
DENVER LEE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1200 FERGUSON ST, NACOGDOCHES, TX 75961-4068
(936) 564-7359
Mailing address
16725 US HIGHWAY 259, NACOGDOCHES, TX 75965-8096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1207626
TX
Other
Enumeration date
11/21/2011
Last updated
07/09/2013
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