Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GLENN PETERSON, PTA
Active Sole ProprietorMR. GLENN PETERSON, PTA is a Developmental Therapist healthcare provider located in BROWNSVILLE, Texas. NPI 1295083699 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · BROWNSVILLE, TX
Registration Details
- NPI Number
- 1295083699
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2012 (14.025022150297 yrs)
- Last Updated
- Jul 23, 2013
- License
-
2088488 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
871 OLD ALICE RDSUITE 600BROWNSVILLE, TX, 785208268Browse TX providers · Browse ZIP 78520
- Phone
- 6157148177
- Primary Specialty
-
Developmental Therapist
222Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.