Individual provider · Type 1 NPI

Glenn Allan Condon, PT

Pediatric Physical Therapist · Flagstaff, AZ

NPI number 1902957699 Active

Practice location

1200 N Beaver St
Flagstaff, AZ 86001-3118

Call (928) 773-2054 Map

Fax (928) 773-2286

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X1581 (AZ)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1902957699

Glenn Allan Condon, PT's National Provider Identifier is 1902957699, issued on Jan 16, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Flagstaff, AZ. The record was last updated on Jul 8, 2007.