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1295083699
GLENN PETERSON
BROWNSVILLE, TX
NPI
1295083699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: TX 2088488)
Enumeration Date
2012-08-16
Last Update Date
2013-07-23
Business Address
MR. GLENN PETERSON PTA
871 OLD ALICE RD SUITE 600
BROWNSVILLE, TX 78520-8268
Phone number: 615-714-8177
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Mailing Address
MR. GLENN PETERSON PTA
871 OLD ALICE RD SUITE 600
BROWNSVILLE, TX 78520-8268
Phone number: 615-714-8177
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