Individual provider · Type 1 NPI
Glenn Edward Lavallee, MSPT
Pediatric Physical Therapist · New Milford, CT
Practice location
2 Grandview Ln
New Milford, CT 06776-2344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 026269-1 (NY) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
About NPI 1821242819
Glenn Edward Lavallee, MSPT's National Provider Identifier is 1821242819, issued on Nov 5, 2008. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in New Milford, CT. The record was last updated on May 28, 2010.