| Doctor Name: | MR. GLENN C COROS |
| NPI Number: | 1659577435 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | J1-0002034 |
| Business Practice Address: | 2021a Emmorton Rd Suite 110 Bel Air, MD - 210158962 |
| Business Phone Number: | 4105150006 |
| Business Fax Number: | |
| Mailing Address: | 126 Mcclellan Dr, FREDERICK |
| State: | MD |
| Postal Code: | 217025502 |
| Phone Number: | 3016637826 |
| Fax Number: | |
| NPI Enumeration Date: | 06/27/2007 |
| NPI Last Update Date: | 08/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | J1-0002034 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DE |
| 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 |