Individual
LAURA J DEBRUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1150 W COLUMBUS AVE, SUITE 3, SPRINGFIELD, MA 01105-2502
(413) 241-8900
(413) 241-8901
Mailing address
37 ROUTE 236, SUITE 210, KITTERY, ME 03904
(207) 439-2675
(207) 439-4965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00756
CT
Other
Enumeration date
05/02/2007
Last updated
06/30/2009
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