NPI 1205695830

Scott Evan Glucksman, LATC

Practitioner Athletic Trainer Stamford, CT

Practice location

Address: 125 Roxbury Rd, Stamford, CT 06902-1295
Phone: (203) 912-5206
Mailing address: 140 Club Rd, Stamford, CT 06905-2120

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 54.000577 (CT)

Other Specialist/Technologist providers in Connecticut →

Registry record

NPI: 1205695830
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Mar 2024
Record last updated: 18 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.