Individual
GLEN THOMAS GITTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PT, RKT, CSCS
Contact information
Practice address
2440 WHITNEY AVE, HAMDEN, CT 06518-3222
(203) 230-1185
(203) 230-0776
Mailing address
169 DEXTER AVE, MERIDEN, CT 06450-6112
(203) 237-9672
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004343
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004343
PHYSICAL THERAPY LICENSE
CT
Enumeration date
12/15/2006
Last updated
07/08/2007
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