IndividualActive
Glenn Lavallee, MSPT
NPI 1821242819 · Pediatric Physical Therapist · New Milford, CT
Provider details
- NPI number
- 1821242819
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 026269-1 (NY)
Mailing address
2 Grandview Ln
New Milford, CT 06776-2344
Registry dates
- Enumerated
- 2008-11-05
- Last updated
- 2010-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.