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Individual

MR. GLENN S PATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
25 VALLEY DR STE 2, GREENWICH, CT 06831-5203
(203) 302-3570
Mailing address
25 VALLEY DR STE 2, GREENWICH, CT 06831-5203
(203) 302-3570

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006406
CT
225100000X
Physical Therapist
62016632
NY

Other

Enumeration date
08/13/2010
Last updated
08/13/2010
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