Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GLENN EASTON, CO,BOCPO,LPO
Active Sole ProprietorMR. GLENN EASTON, CO,BOCPO,LPO is a Physical Therapist Assistant healthcare provider located in FREEHOLD, New Jersey. NPI 1467576066 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · FREEHOLD, NJ
Registration Details
- NPI Number
- 1467576066
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 19, 2007 (19.42510092362 yrs)
- Last Updated
- Dec 13, 2012
- License
-
45PO00013900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
141 SILOAM RDFREEHOLD, NJ, 077288608Browse NJ providers · Browse ZIP 07728
- Phone
- 8007187856
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
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.