Locke, Glen

Locke, Glen is an individual health care provider with primary practice located at 1115 Capitola Rd , Santa Cruz CA 95062-2844. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Locke, Glen can be contacted via phone (831) 475-4055.

Contact Information

Primary practice address
1115 Capitola Rd Santa Cruz CA 95062-2844
Phone: (831) 475-4055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 3150 California

Profile Details

NPI number 1437319431
LBN Legal business name Locke, Glen
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2008
Last updated Jun 12th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers