Boulware, Laurie Layton
Boulware, Laurie Layton is an individual health care provider with primary practice located at 26921 Crown Valley Pkwy Suite 120, Mission Viejo CA 92691-6501. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Boulware, Laurie Layton can be contacted via phone (949) 582-2555.Contact Information
Primary practice address
26921 Crown Valley Pkwy Suite 120
Mission Viejo CA 92691-6501
Phone: (949) 582-2555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 28645 | California |
Profile Details
| NPI number | 1093753741 |
|---|---|
| LBN Legal business name | Boulware, Laurie Layton |
| Credentials | PT, DPT, CSCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Mar 26th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093753741 | NPPES |
| California | Other | PT 28645 | PT LICENSE |
Popular Providers
-
Santos, John William
27725 Santa Margarita Pkwy Suite #210, Mission Viejo CA 92691-6704 -
Brackett, Michael Patrick
24572 Mosquero Ln , Mission Viejo CA 92691-4911 -
Fehrenbach, Charles Joseph
26034 Acero Bldg K , Mission Viejo CA 92691 -
Hoyt, Trisha Suzanne
23838 Skyline , Mission Viejo CA 92692-1875 -
Alvear, Paul
25971 Pala Suite 110, Mission Viejo CA 92691-2742 -
Lam, Danny C
26691 Plaza Drive Suite 205, Mission Viejo CA 92691 -
Lavayen, Carlos Alfredo
26691 Plaza Drive Ste 205 , Mission Viejo CA 92691 -
Richards, Dennus A
26471 Crown Valley Pkwy Suite 200, Mission Viejo CA 92691-6378