Individual provider · Type 1 NPI

Glen Junior Foreman, PT, DPT, LAT, ATC

Orthopedic Physical Therapist · Avon, CT

NPI number 1780121012 Active

Practice location

60 Market St Ste 130
Avon, CT 06001-4282

Mailing address

339 Main St
Farmington, CT 06032-3618

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800X14.013794 (CT)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1780121012

Glen Junior Foreman, PT, DPT, LAT, ATC's National Provider Identifier is 1780121012, issued on Jan 25, 2017. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Avon, CT. The record was last updated on Apr 9, 2023.