Individual
LAUREN BOZEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4613 LAQUINTA CT, PACE, FL 32571-1365
(850) 304-3605
Mailing address
4613 LAQUINTA CT, PACE, FL 32571-1365
(850) 304-3605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21683
FL
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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