Mr Frank Allen Glenn, PHYSICAL THERAPIST | |
90 Vandenberg Dr, Hanscom Afb, MA 01731-2104 | |
(781) 225-6789 | |
(781) 225-2576 |
Full Name | Mr Frank Allen Glenn |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 90 Vandenberg Dr, Hanscom Afb, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750331872 | NPI | - | NPPES |
1750331872 | Other | MA | MILITARY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT11351 (Georgia) | Primary |
Provider Name | Effingham Rehab Services, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1780264994 PECOS PAC ID: 5597752063 Enrollment ID: O20180723000980 |
Mailing Address | Practice Location Address |
---|---|
Mr Frank Allen Glenn, PHYSICAL THERAPIST 90 Vandenberg Dr, Hanscom Afb, MA 01731-2104 Ph: (781) 225-6789 | Mr Frank Allen Glenn, PHYSICAL THERAPIST 90 Vandenberg Dr, Hanscom Afb, MA 01731-2104 Ph: (781) 225-6789 |
Mr. Jay Scott Cloutier, PT, SCS, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 Mdg/sgo, 90 Vandeberg Ave, Hanscom Afb, MA 01731 Phone: 781-377-4702 | |
Stephanie Christine Anderson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Vandenberg Dr, Hanscom Afb, MA 01731 Phone: 781-225-6366 |