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Mr. Glenn Allan Condon, PT
Pediatric Physical Therapist in Flagstaff, Arizona
NPI 1902957699

Glenn Allan Condon is a Pediatric Physical Therapist based in Flagstaff, AZ and is specialized in Pediatrics. Glenn Allan Condon practices in Flagstaff, AZ and has the professional credentials of PT. The NPI Number for Glenn Allan Condon is 1902957699 and holds a License No. 1581 (Arizona).

The current practice location address for Glenn Allan Condon is 1200 N Beaver St, Flagstaff, AZ and can be reached out via phone at 928-773-2054 and via fax at 928-773-2286.

Location: 1200 N Beaver St, Flagstaff, AZ, 86001-3118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902957699
Provider Name
Glenn Allan Condon
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1200 N Beaver St, Flagstaff, AZ, 86001-3118
Phone Number
928-773-2054
Fax Number
928-773-2286
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001581 01 AZ PT LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1200 N Beaver St
City
Flagstaff
State
Arizona
Zip
86001-3118
Phone Number
928-773-2054
Fax Number
928-773-2286
person
Provider Business Mailing Address Details
Address
1200 N Beaver St
City
Flagstaff
State
Arizona
Zip
86001-3118
Phone Number
928-773-2054
Fax Number
928-773-2286
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
1581 (Arizona)
Definition
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 therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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