Individual
CRAIG J BOUSLOUGH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
8205 PRESIDENTS DR, 2ND FLOOR, HUMMELSTOWN, PA 17036-8034
(717) 220-2100
(717) 220-2111
Mailing address
1284 AUBURN AVE, HUMMELSTOWN, PA 17036-6808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007412L
PA
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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