Dr Glen Junior Foreman, PT, DPT, LAT, ATC | |
60 Market St Ste 130, Avon, CT 06001-4282 | |
(860) 703-8505 | |
Not Available |
Full Name | Dr Glen Junior Foreman |
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Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 60 Market St Ste 130, Avon, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780121012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 14.013794 (Connecticut) | Primary |
Provider Name | Ivyrehab Connecticut Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1265799365 PECOS PAC ID: 8325203649 Enrollment ID: O20120711000223 |
Mailing Address | Practice Location Address |
---|---|
Dr Glen Junior Foreman, PT, DPT, LAT, ATC 339 Main St, Farmington, CT 06032-3618 Ph: (203) 988-5560 | Dr Glen Junior Foreman, PT, DPT, LAT, ATC 60 Market St Ste 130, Avon, CT 06001-4282 Ph: (860) 703-8505 |
Jonathan Soderquist, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Dale Rd, Suite 203, Avon, CT 06001 Phone: 860-674-1713 Fax: 860-674-1848 | |
Bernardine Lapaan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 44 Dale Rd Ste 203, Avon, CT 06001 Phone: 860-674-1713 | |
Cynthia Langer, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 45 E Main St, Avon, CT 06001 Phone: 860-402-7743 | |
Thomas Kirsch, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 44 Dale Rd Ste 203, Avon, CT 06001 Phone: 860-674-1713 | |
Mr. Bartlomiej Kolcz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 44 Dale Rd Ste 203, Avon, CT 06001 Phone: 860-674-1713 | |
Keely Yarish, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 44 Dale Rd Ste 203, Avon, CT 06001 Phone: 860-674-1713 | |
Eric Horne, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 44 Dale Rd, Avon, CT 06001 Phone: 860-674-6713 Fax: 860-674-1848 |