Laviolette, Susan
Laviolette, Susan is an individual health care provider with primary practice located at 35 Bedford St Suite 5, Lexington MA 02420-4320. 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. Laviolette, Susan can be contacted via phone (781) 861-8884.Contact Information
Primary practice address
35 Bedford St Suite 5
Lexington MA 02420-4320
Phone: (781) 861-8884
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3625 | Massachusetts |
Profile Details
| NPI number | 1194910547 |
|---|---|
| LBN Legal business name | Laviolette, Susan |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2007 |
| Last updated | Sep 10th, 2007 - about 19 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 | 1194910547 | NPPES |
| Massachusetts | Other | Y65113 | BLUE CROSS |
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