Individual
GLENN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 CHANGEBRIDGE RD, MONTVILLE, NJ 07045-8947
(973) 917-3134
Mailing address
2 CHANGEBRIDGE RD, MONTVILLE, NJ 07045-8947
(973) 917-3134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01754800
NJ
Other
Enumeration date
09/12/2017
Last updated
02/14/2023
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