Individual
LAURI F. BOSCARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
84 SNIPSIC LAKE RD, ELLINGTON, CT 06029-3519
(860) 633-1016
(860) 875-6423
Mailing address
76 EASTERN BLVD, SUITE 101, GLASTONBURY, CT 06033-4382
(860) 633-1016
(860) 875-6423
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
003305
CT
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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