Charla Larissa Bouranis, ME.D, ATC
NPI #1669889325 in Swampscott, Massachusetts
Provider Information
- NPI Number
- 1669889325
- Entity Type
- Individual
- Name
- Charla Larissa Bouranis, ME.D, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ME.D, ATC
- Enumeration Date
- Jul 15, 2014
- Last Updated
- Jul 15, 2014
Practice Location
- Address
- 19 LINCOLN HOUSE PT
- City
- Swampscott
- State
- Massachusetts
- ZIP Code
- 01907-2707
- Phone
- (781) 854-1515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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