Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN JUNIOR FOREMAN, PT, DPT, LAT, ATC
Active Sole ProprietorDR. GLEN JUNIOR FOREMAN, PT, DPT, LAT, ATC is a Ergonomics (Occupational Therapy) healthcare provider located in AVON, Connecticut. NPI 1780121012 is currently active in the NPPES registry. Verify at CMS.
Ergonomics (Occupational Therapy) · AVON, CT
Registration Details
- NPI Number
- 1780121012
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2017 (9.5167906213906 yrs)
- Last Updated
- Apr 9, 2023
- License
-
14.013794 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
60 MARKET ST STE 130AVON, CT, 060014282Browse CT providers · Browse ZIP 06001
- Phone
- 8607038505
- Primary Specialty
-
Ergonomics (Occupational Therapy)
2251X0800X
Other Ergonomics (Occupational Therapy) Providers in AVON, CT
| Name | Credential | NPI |
|---|---|---|
| MR. CHRIS TOPHER J MATAN | PHYSICAL THERAPIST | 1598776940 |
| KURTIS LILLIE | PT | 1336404847 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.