Individual
GLEN LLOYD EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2044 E OCEAN VIEW AVE, NORFOLK, VA 23503-2506
(757) 480-0045
Mailing address
2044 E OCEAN VIEW AVE, NORFOLK, VA 23503-2506
(757) 480-0045
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003168
VA
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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