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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLENN BERRY

Active

Physical Therapy Assistant · ADA, OK

Registration Details

NPI Number
1376878108
Provider Type
Individual
Gender
Male
NPI Issued
Oct 13, 2009 (16.521888822974 yrs)
Last Updated
Jul 9, 2015
Licenses
2009025549 (MO)
4288 (OK)

Practice Information

Address
1921 STONECIPHER BLVD
ADA, OK, 74820
Browse OK providers · Browse ZIP 74820
Phone
5804363980
Fax
5804216283
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in ADA, OK

Name Credential NPI
DAN CHARBONEAU PHYSICAL THERAPIST 1770526667
LARRY COMPTON 1558478248
ANGUS MCFARLANE 1720197650
DONNY ROBERTS 1689784241
DANA KAY JARRETT PT 1487875902
MRS. HELEN LOUISE TROWBRIDGE P.T. 1932315801
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.