Michael Glade, OTR/L

NPI 1154332773 · on the registry since 2006 · sole proprietor

Practice

Address: 242 Mountain Rd
Grants, NM 87020
Phone: (505) 876-6030
Fax: (505) 876-6151
Organisation at this address: Langford Consulting, Incorporated
Cibola Sports And Physical Therapy
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: NM
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico