Provider Demographics
NPI:1922194513
Name:BOCIAN, LAURENCE SCOTT (PT)
Entity Type:Individual
Prefix:MR
First Name:LAURENCE
Middle Name:SCOTT
Last Name:BOCIAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9792 GRAND VERDE WAY
Mailing Address - Street 2:502
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-3512
Mailing Address - Country:US
Mailing Address - Phone:561-212-5797
Mailing Address - Fax:954-905-4967
Practice Address - Street 1:9792 GRAND VERDE WAY
Practice Address - Street 2:502
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-3512
Practice Address - Country:US
Practice Address - Phone:561-212-5797
Practice Address - Fax:954-905-4967
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT75032251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic