Provider Demographics
NPI:1043718109
Name:FUSION REHAB SERVICES LLC
Entity Type:Organization
Organization Name:FUSION REHAB SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:860-977-4647
Mailing Address - Street 1:342 WINTER ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5672
Mailing Address - Country:US
Mailing Address - Phone:617-274-6672
Mailing Address - Fax:617-658-1049
Practice Address - Street 1:10 CUDWORTH RD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:MA
Practice Address - Zip Code:01570-3100
Practice Address - Country:US
Practice Address - Phone:508-949-3598
Practice Address - Fax:508-949-3400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-24
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation