Individual
MRS. LAURIE ANN BOUZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
305 MAPLE ST, EAST LONGMEADOW, MA 01028-2712
(413) 525-6361
(413) 525-1741
Mailing address
54 KALISH AVE, ENFIELD, CT 06082-1808
(860) 698-6243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15152
MA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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