Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORELL GLASS
Active Sole ProprietorJORELL GLASS is a Physical Therapist Assistant healthcare provider located in PEORIA, Illinois. NPI 1508421579 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · PEORIA, IL
Registration Details
- NPI Number
- 1508421579
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2019 (7.2937351832952 yrs)
- Last Updated
- May 6, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
456 FULTON ST STE 180PEORIA, IL, 616021292Browse IL providers · Browse ZIP 61602
- Phone
- 3094089399
- 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.