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Individual

ASSAN GLENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
51 WATERMAN ST, BRIDGEPORT, CT 06607-1537
(203) 829-2566
Mailing address
51 WATERMAN ST, BRIDGEPORT, CT 06607-1537
(203) 829-2566

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
1231009752
CT

Other

Enumeration date
09/28/2023
Last updated
09/28/2023
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