Provider Demographics
NPI:1033286497
Name:SAWYER, LAURI SUE (PT)
Entity Type:Individual
Prefix:MRS
First Name:LAURI
Middle Name:SUE
Last Name:SAWYER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 HIGH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2539
Mailing Address - Country:US
Mailing Address - Phone:781-326-9402
Mailing Address - Fax:781-326-0661
Practice Address - Street 1:805 HIGH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-2539
Practice Address - Country:US
Practice Address - Phone:781-326-9402
Practice Address - Fax:781-326-0661
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5121225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA693992OtherTUFTS
MA602661OtherHARVARD PILGRIM
MAY65387OtherBLUE CROSS BLUE SHIELD
MAY65387Medicare ID - Type Unspecified