Individual
LISA BOUGHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 GRANT DR STE A, RENO, NV 89509-7349
(775) 829-4700
(775) 829-4710
Mailing address
1872 MILLPOND CT, RENO, NV 89523-2057
(775) 787-1339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1751
NV
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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