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

MR. GLENN DODGE, DPT

Active Sole Proprietor

MR. GLENN DODGE, DPT is a Physical Therapy Assistant healthcare provider located in ONTARIO, Oregon. NPI 1417021494 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ONTARIO, OR

Registration Details

NPI Number
1417021494
Provider Type
Individual
Gender
Male
NPI Issued
Nov 20, 2006 (19.699986915645 yrs)
Last Updated
Jul 9, 2007
License
3474 (OR)
Sole Proprietor
Yes

Practice Information

Address
49 NW 1ST ST STE 1
ONTARIO, OR, 979142468
Browse OR providers · Browse ZIP 97914
Phone
5418894550
Fax
5418894628
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in ONTARIO, OR

Name Credential NPI
MR. DAVID O HARDY MS PT OCS CSCS 1215929393
MS. JEAN ELIZABETH LINDLEY OAKES RPT 1265462022
MRS. DANIEL CHUDLEIGH 1801818208
PATRICIA ANN AARESTAD R.P.T. 1740356500
LYNSAY JO LUDWIG D.P.T. 1063694636
HEATHER RAE KURTH DPT 1568694131
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.