Gleason, Paul John

Gleason, Paul John is an individual health care provider with primary practice located at 375 E Virginia Ave Suite B, Phoenix AZ 85004-1220. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Gleason, Paul John can be contacted via phone (602) 264-5323.

Contact Information

Primary practice address
375 E Virginia Ave Suite B Phoenix AZ 85004-1220
Phone: (602) 264-5323
Fax: (602) 264-5302
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0656 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 0656 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 0656 Arizona

Profile Details

NPI number 1649247651
LBN Legal business name Gleason, Paul John
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Nov 27th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649247651 NPPES
Arizona MEDICAID 781387

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