Individual
DR. GLEN CULBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
41 PARK AVE, LATHAM, NY 12110-4130
(518) 783-9884
Mailing address
41 PARK AVE, LATHAM, NY 12110-4130
(518) 783-9884
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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