Individual
DALLIS GLENN FORSYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5036 GOODMAN RD STE 110, OLIVE BRANCH, MS 38654-7966
(662) 586-2989
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6663
MS
Other
Enumeration date
06/03/2019
Last updated
08/07/2025
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