Organization
GLASS SEATING AND MOBILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA GLASS OWENS (OWNER/PRESIDENT)
(901) 379-0096
Entity
Organization
Contact information
Practice address
2315 BOB WALLACE AVE SW, SUITE G, HUNTSVILLE, AL 35805-4744
(256) 705-4646
(256) 704-4569
Mailing address
1687 N SHELBY OAKS DR, SUITE 9, MEMPHIS, TN 38134-7421
(901) 379-0096
(901) 379-0018
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
776
AL
332BC3200X
Customized Equipment (DME)
Primary
776
AL
Other
Enumeration date
10/04/2007
Last updated
12/20/2007
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