| NPI | 1164547956 |
|---|---|
| Other Name | W. GLYNN LEACH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 02261) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX CP010730T) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2023-04-26 |