Individual
GLENN MARVIN CAMPBELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OTRIL PTA
Contact information
Practice address
5955 ZEAMER AVE, 3RD MDG, ELMENDORF AFB, AK 99506-3702
(907) 580-1700
Mailing address
7402 METZGER AVE, UNIT A, ELMENDORF AFB, AK 99506-2021
(907) 333-8281
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE000241L
PA
225X00000X
Occupational Therapist
OC002460L
PA
Other
Enumeration date
10/26/2005
Last updated
09/11/2025
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