Doctor Name: | GLENNA MARIA PRIETO |
NPI Number: | 1144266529 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 001730 |
Business Practice Address: | 705 17th St Columbus, GA - 319013500 |
Business Phone Number: | 7063210930 |
Business Fax Number: | |
Mailing Address: | 108 Clearwater Dr, LAGRANGE |
State: | GA |
Postal Code: | 302411524 |
Phone Number: | 7068850912 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 001730 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |