Individual
GLENN A CORRENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2006 BOLL ST # 3801, DALLAS, TX 75204-2702
(504) 460-4740
Mailing address
2006 BOLL ST # 3801, DALLAS, TX 75204-2702
(504) 460-4740
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT135462
TX
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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