Active NPIIndividual provider

Tara J Glennon, OTR/L

Occupational Therapist, Pediatrics in Milford, Connecticut

NPI Number1548444227
Practice location
203 Broad St, Unit C-2, Milford, CT 06460-4751
Fax
203-876-1545
Last updated
December 18, 2007

Tara J Glennon is an Occupational Therapist, Pediatrics based in Milford, CT. Tara J Glennon practices in Milford, CT and has the professional credentials of OTR/L. The NPI Number for Tara J Glennon is 1548444227 and holds a License No. 000601 (CT). The current practice location address for Tara J Glennon is 203 Broad St, Unit C-2, Milford, CT 06460-4751 and can be reached out via phone at 203-876-2000 and via fax at 203-876-1545.

Provider Profile Details

NPI Number
1548444227
Provider Name
Tara J Glennon
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
203 Broad St, Unit C-2, Milford, CT 06460-4751
Phone Number
203-876-2000
Fax Number
203-876-1545
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
No
Provider Enumeration Date
December 18, 2007
Last Update Date
December 18, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
203 Broad St
Unit C-2
Milford, CT 06460-4751
Zip
06460-4751
Phone Number
203-876-2000
Fax Number
203-876-1545
Milford, CT 06460Get directions →

Provider Business Mailing Address Details

Address
203 Broad St
Unit C-2
Milford, CT 06460-4751
City
Milford
State
CT
Zip
06460-4751
Phone Number
203-876-2000
Fax Number
203-876-1545

License Information

License Number
000601
License State
CT
Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tara J Glennon, OTR/L?

The NPI number of Tara J Glennon, OTR/L is 1548444227. It was assigned on December 18, 2007 and is currently active in the NPPES registry.

What is the specialty of Tara J Glennon, OTR/L?

Tara J Glennon, OTR/L is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in CT under license number 000601.

Where does Tara J Glennon, OTR/L practice?

The practice location is 203 Broad St, Unit C-2, Milford, CT 06460-4751. The office can be reached at 203-876-2000 (phone) or 203-876-1545 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548444227 directly on the NPPES registry website.

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