Jacques Gideon Van Der Glas
NPI #1740769843 in Madison, North Carolina
Provider Information
- NPI Number
- 1740769843
- Entity Type
- Individual
- Name
- Jacques Gideon Van Der Glas
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Aug 9, 2018
- Last Updated
- Aug 9, 2018
Practice Location
- Address
- 1721 BALD HILL LOOP
- City
- Madison
- State
- North Carolina
- ZIP Code
- 27025-7624
- Phone
- (336) 548-9658
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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