Provider Demographics
NPI:1295899748
Name:SCOLA, LAUREN M (PT)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:M
Last Name:SCOLA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:M
Other - Last Name:KELLEHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:10 JAMES AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949-2146
Mailing Address - Country:US
Mailing Address - Phone:781-424-0330
Mailing Address - Fax:781-424-0330
Practice Address - Street 1:10 JAMES AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:MA
Practice Address - Zip Code:01949-2146
Practice Address - Country:US
Practice Address - Phone:781-424-0330
Practice Address - Fax:781-424-0330
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17704225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist