SCOTT JASON GLICKAUF

WILMINGTON, NC
NPI1265536882
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  0440)
Enumeration Date2006-09-12
Last Update Date2007-07-08
Business Address
MR. SCOTT JASON GLICKAUF LAT ATC
2716 ASHTON DR
WILMINGTON, NC 28412-2489
Phone number: 910-763-7344
Mailing Address
MR. SCOTT JASON GLICKAUF LAT ATC
4159 LAKE AVE
WILMINGTON, NC 28403
Phone number: 910-350-0492
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