GLENN DODGE

ONTARIO, OR
NPI1417021494
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  3474)
Enumeration Date2006-11-20
Last Update Date2007-07-09
Business Address
MR. GLENN DODGE DPT
49 NW 1ST ST STE 1
ONTARIO, OR 97914-2468
Phone number: 541-889-4550
Mailing Address
MR. GLENN DODGE DPT
33648 APPLE VALLEY RD
PARMA, ID 83660-6404
Phone number: 208-484-1498