DALLIS GLENN FORSYTHE

OXFORD, MS
NPI1760040984
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT6663)
Enumeration Date2019-06-03
Last Update Date2019-06-03
Business Address
DALLIS GLENN FORSYTHE DPT
204 ENTERPRISE DR
OXFORD, MS 38655-2761
Phone number: 662-234-0010
Mailing Address
DALLIS GLENN FORSYTHE DPT
199 N BROOKMOORE DR
COLUMBUS, MS 39705-2024
Phone number: 662-327-6705
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