Individual
CLINT GALAMGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
84 GLASTONBURY BLVD, SUITE 103, GLASTONBURY, CT 06033
(860) 633-6292
(860) 633-6299
Mailing address
84 GLASTONBURY BLVD, SUITE 103, GLASTONBURY, CT 06033
(860) 633-6292
(860) 633-6299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007203
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004252037
—
CT
Enumeration date
10/03/2006
Last updated
07/09/2007
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