IndividualActive
Glenn Condon, PT
NPI 1902957699 · Pediatric Physical Therapist · Flagstaff, AZ
Provider details
- NPI number
- 1902957699
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 1581 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone: (928) 773-2054
Fax: (928) 773-2286
Approximate (ZIP-level) locationGet directions
Mailing address
1200 N Beaver St
Flagstaff, AZ 86001-3118
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.