Individual
SCOTT FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
80 LAMBERTON RD, WINDSOR, CT 06095-2136
(860) 683-4603
Mailing address
136 BERLIN RD, CROMWELL, CT 06416-2627
(860) 683-4603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005340
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076572
MEDICARE GROUP ID
CT
Enumeration date
12/03/2007
Last updated
12/07/2009
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