Individual
JONATHAN C GLENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
410 SAYBROOK RD, MIDDLETOWN, CT 06457-4777
(860) 638-3820
(860) 638-3824
Mailing address
410 SAYBROOK RD, MIDDLETOWN, CT 06457-4777
(860) 638-3820
(860) 638-3824
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006094
CT
2251E1200X
Ergonomics Physical Therapist
006094
CT
2251S0007X
Sports Physical Therapist
006094
CT
2251X0800X
Orthopedic Physical Therapist
006094
CT
Other
Enumeration date
08/11/2006
Last updated
05/03/2019
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