Active NPIIndividual provider

Mrs. Laurie A Bouzan, PT

Physical Therapist in East Longmeadow, Massachusetts

NPI Number1578696340
Practice location
305 Maple St, East Longmeadow, MA 01028-2712
Fax
413-525-1741
Last updated
July 8, 2007

Laurie Ann Bouzan is a Physical Therapist based in East Longmeadow, MA. Laurie Ann Bouzan practices in East Longmeadow, MA and has the professional credentials of PT. The NPI Number for Laurie Ann Bouzan is 1578696340 and holds a License No. 15152 (MA). The current practice location address for Laurie Ann Bouzan is 305 Maple St, East Longmeadow, MA 01028-2712 and can be reached out via phone at 413-525-6361 and via fax at 413-525-1741.

Provider Profile Details

NPI Number
1578696340
Provider Name
Laurie Ann Bouzan
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
305 Maple St, East Longmeadow, MA 01028-2712
Phone Number
413-525-6361
Fax Number
413-525-1741
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
March 13, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
305 Maple St
East Longmeadow, MA 01028-2712
Zip
01028-2712
Phone Number
413-525-6361
Fax Number
413-525-1741
East Longmeadow, MA 01028Get directions →

Provider Business Mailing Address Details

Address
54 Kalish Ave
Enfield, CT 06082-1808
City
Enfield
State
CT
Zip
06082-1808
Phone Number
860-698-6243

License Information

License Number
15152
License State
MA
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Laurie A Bouzan, PT?

The NPI number of Mrs. Laurie A Bouzan, PT is 1578696340. It was assigned on March 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Laurie A Bouzan, PT?

Mrs. Laurie A Bouzan, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 15152.

Where does Mrs. Laurie A Bouzan, PT practice?

The practice location is 305 Maple St, East Longmeadow, MA 01028-2712. The office can be reached at 413-525-6361 (phone) or 413-525-1741 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578696340 directly on the NPPES registry website.

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