Individual
MISS GLADYS FERNANDEZ FLORENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
945 BRIDGEPORT AVE, SHELTON, CT 06484-4624
(201) 993-4136
Mailing address
945 BRIDGEPORT AVE, SHELTON, CT 06484-4624
(201) 993-4136
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
026629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007743
PHYSICAL THERAPY LICENSE
CT
01
—
026629
PHYSICAL THERAPY LICENSE
NY
Enumeration date
04/17/2007
Last updated
01/04/2023
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