DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLA LARISSA BOURANIS, ME.D, ATC

Active Sole Proprietor

CHARLA LARISSA BOURANIS, ME.D, ATC is a Athletic Trainer healthcare provider located in SWAMPSCOTT, Massachusetts. NPI 1669889325 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SWAMPSCOTT, MA

Registration Details

NPI Number
1669889325
Provider Type
Individual
Gender
Female
NPI Issued
Jul 15, 2014 (12.060597456434 yrs)
Last Updated
Jul 15, 2014
License
1966 (MA)
Sole Proprietor
Yes

Practice Information

Address
19 LINCOLN HOUSE PT
SWAMPSCOTT, MA, 019072707
Browse MA providers · Browse ZIP 01907
Phone
7818541515
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in SWAMPSCOTT, MA

Name Credential NPI
JACOB ROBERT POWELL ATC 1487107231
TESSA ZAHR BEANE 1194226555
BRITTANY HOYT 1013538792
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.