Individual
GLENNEISHA E POUNCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14500 E 42ND ST S STE 220, INDEPENDENCE, MO 64055-4700
(816) 478-7800
Mailing address
7145 SNI A BAR RD, KANSAS CITY, MO 64129-1975
(816) 916-1830
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2021044000
MO
Other
Enumeration date
05/25/2024
Last updated
05/25/2024
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