Most Relevant Information
Provider Data
| NPI Number: | 1003214412 |
| Provider Name: | GLENDON NICK |
| Entity Type: | Individual |
| Taxonomy Code: | 2251X0800X |
| Specialty: | Physical Therapist |
| License Number: | 25314 |
Most Important Dates
| Enumeration Date: | 12/17/2014 |
| Last Updated: | 12/17/2014 |
Provider Practice Location
7829 GRASSY GARTH
ELKRIDGE
MD
210756139
Practice Location Phone/Fax
| Phone: | 4107992089 |
| Fax: |
Provider Mailing Location
7829 GRASSY GARTH
ELKRIDGE
MD
210756139
Provider Mailing Phone/Fax
| Phone: | 4107992089 |
| Fax: |