| Doctor Name: | LAUREN DEANN BOUWMAN |
| NPI Number: | 1932444908 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, CLT |
| License Number: | 05010491A |
| Business Practice Address: | 15900 W 101st Ave Dyer, IN - 463113065 |
| Business Phone Number: | 2193656333 |
| Business Fax Number: | 2193658291 |
| Mailing Address: | 16000 W 101st Ave, DYER |
| State: | IN |
| Postal Code: | 463113046 |
| Phone Number: | 2193656333 |
| Fax Number: | 2193658291 |
| NPI Enumeration Date: | 12/03/2012 |
| NPI Last Update Date: | 05/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 05010491A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |