Most Relevant Information
Provider Data
NPI Number: | 1003284035 |
Provider Name: | CARISSA GLESSNER |
Entity Type: | Individual |
Taxonomy Code: | 225200000X |
Specialty: | Physical Therapy Assistant |
License Number: | TE1002545 |
Most Important Dates
Enumeration Date: | 09/08/2015 |
Last Updated: | 09/08/2015 |
Provider Practice Location
228 SIEMON DR
SOMERSET
PA
155017055
Practice Location Phone/Fax
Phone: | 8144432811 |
Fax: |
Provider Mailing Location
444 BLOSSOM VIEW HTS
SOMERSET
PA
155019395
Provider Mailing Phone/Fax
Phone: | |
Fax: |