Individual
GLENN C COROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2021A EMMORTON RD, SUITE 110, BEL AIR, MD 21015-8962
(410) 515-0006
Mailing address
126 MCCLELLAN DR, FREDERICK, MD 21702-5502
(301) 663-7826
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21911
MD
225100000X
Physical Therapist
J1-0002034
DE
Other
Enumeration date
06/27/2007
Last updated
08/07/2024
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