Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GLENN EDWARD LAVALLEE, MSPT
Active Sole ProprietorMR. GLENN EDWARD LAVALLEE, MSPT is a Pediatric Occupational Therapy healthcare provider located in NEW MILFORD, Connecticut. NPI 1821242819 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapy · NEW MILFORD, CT
Registration Details
- NPI Number
- 1821242819
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 5, 2008 (17.782493802205 yrs)
- Last Updated
- May 28, 2010
- License
-
026269-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 GRANDVIEW LNNEW MILFORD, CT, 067762344Browse CT providers · Browse ZIP 06776
- Phone
- 8603555101
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
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.