Whalio Doctors

NPI 1003089749

Matthew Glenn, PT

Practitioner Physical Therapist Clarkston, MI

Practice location

Address
5896 Dixie Hwy STE B, Clarkston, MI 48346-4503
Phone
(248) 461-6674
Fax
(248) 461-6594

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 5501012527 (MI)

Registry record

NPI
1003089749
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Apr 2008
Record last updated
16 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.