Individual
MR. SHANE MICHAEL MCGLOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
3 NUTMEG CT, WALLINGFORD, CT 06492-2585
(203) 265-1615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006243
CT
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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