Dr GLASCOW P TENNILLE JR. is a male medical professional, specializing in Physical Therapy. He graduated in 2007.
ACTIVE LIFE AND SPORTS THERAPY LLC
4337 EBENEZER RD
NOTTINGHAM
MD
212362143
Tel: 4105293303
| Npi | 1396092375 |
| Pac Id | 6406008036 |
| Professional Enrollment Id | I20121206000201 |
| Last Name | TENNILLE |
| First Name | GLASCOW |
| Middle Name | P |
| Suffix | JR. |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICAL THERAPY |
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| Organization Legal Name | ACTIVE LIFE AND SPORTS THERAPY LLC |
| Group Practice Pac Id | 5193711927 |
| Number Of Group Practice Members | 10 |
| Line 1 Street Address | 4337 EBENEZER RD |
| Line 2 Street Address | |
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| City | NOTTINGHAM |
| State | MD |
| Zip Code | 212362143 |
| Phone Number | 4105293303 |
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| Professional Accepts Medicare Assignment | Y |
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