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

MR. GLEN ERIC JOHNSON, ATC

Active

MR. GLEN ERIC JOHNSON, ATC is a Athletic Trainer healthcare provider located in GLEN ROCK, Pennsylvania. NPI 1750505566 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · GLEN ROCK, PA

Registration Details

NPI Number
1750505566
Provider Type
Individual
Gender
Male
NPI Issued
Apr 12, 2007 (19.302926158979 yrs)
Last Updated
Jul 8, 2007
License
RT001236A (PA)

Practice Information

Address
3280 FISSELS CHURCH RD
GLEN ROCK, PA, 173278774
Browse PA providers · Browse ZIP 17327
Phone
7172354811
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in GLEN ROCK, PA

Name Credential NPI
JASON SCHOONOVER LAT 1083068449
KALLIE LYNN HEIGES LAT, ATC 1104394105
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.