Glenn Berry

NPI #1376878108 in Ada, Oklahoma

Provider Information

NPI Number: 1376878108
Entity Type: Individual
Name: Glenn Berry
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Oct 13, 2009
Last Updated: Jul 9, 2015

Practice Location

Address: 1921 STONECIPHER BLVD
City: Ada
State: Oklahoma
ZIP Code: 74820
Phone: (580) 436-3980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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