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Glenn Kershaw, PTA

NPI 1780836700 · on the registry since 2008

Practice

Address: 9002 Mentor Ave
Mentor, OH 44060
Phone: (440) 266-1901
Fax: (440) 266-1902
Organisation at this address: J&K Pain Management Company Llc
Great Lakes Ambulatory Surgery Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Physical Therapy Assistant
225200000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-10-22

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 Ohio