Glennon, Tara J

Glennon, Tara J is an individual health care provider with primary practice located at 203 Broad St Unit C-2, Milford CT 06460-4751. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Glennon, Tara J can be contacted via phone (203) 876-2000.

Contact Information

Primary practice address
203 Broad St Unit C-2 Milford CT 06460-4751
Phone: (203) 876-2000
Fax: (203) 876-1545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 000601 Connecticut

Profile Details

NPI number 1548444227
LBN Legal business name Glennon, Tara J
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2007
Last updated Dec 18th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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