Individual provider · Type 1 NPI
Emerald Glenn
Prosthetic/Orthotic Supplier · Pittsfield, MA
Practice location
82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066
Mailing address
64 Meredith St
Springfield, MA 01108-2719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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About NPI 1376436634
Emerald Glenn's National Provider Identifier is 1376436634, issued on Jun 3, 2025. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Pittsfield, MA. The record was last updated on Jun 3, 2025.