NPI 1669889325

Charla Larissa Bouranis, MEDATC

Practitioner Athletic Trainer Swampscott, MA

Practice location

Address: 19 Lincoln House PT, Swampscott, MA 01907-2707
Phone: (781) 854-1515

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1966 (MA)

Other Specialist/Technologist providers in Massachusetts →

Registry record

NPI: 1669889325
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jul 2014
Record last updated: 15 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.