Holly Mari Glenn, PTA

NPI #1063677151 in Eddyville, Iowa

Provider Information

NPI Number: 1063677151
Entity Type: Individual
Name: Holly Mari Glenn, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 28, 2008
Last Updated: Jul 28, 2008

Practice Location

Address: 18187 150TH ST
City: Eddyville
State: Iowa
ZIP Code: 52553-8139
Phone: (641) 777-6141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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