Jacques Gideon Van der Glas
Jacques Gideon Van der Glas is a Physical Therapist in Madison, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.
- Licensed in
- NC
- In the registry since
- 2018
Practice location Address checks out
1721 Bald Hill LoopMadison, NC 27025-7624
Phone: (336) 548-9658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence P4116 (NC) |
|---|
Record details
| NPI number | 1740769843 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 9, 2018 |
| Last updated in NPPES | August 9, 2018 |
| Mailing address | 1721 Bald Hill Loop, Madison, NC 27025-7624 |
Other providers in Madison
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Jennifer Foose, DPT
1721 Bald Hill Loop, Madison, NC 27025-7624 · (336) 548-9658