ASSAN GLENN

BRIDGEPORT, CT
NPI1871372755
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225XP0019X Occupational Therapist Physical Rehabilitation
(Licence: CT  1231009752)
Enumeration Date2023-09-28
Last Update Date2023-09-28
Business Address
ASSAN GLENN
51 WATERMAN ST
BRIDGEPORT, CT 06607-1537
Phone number: 203-829-2566
Mailing Address
ASSAN GLENN
51 WATERMAN ST
BRIDGEPORT, CT 06607-1537
Phone number: 203-829-2566
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