Provider Demographics
NPI:1053659532
Name:DUFER LLC
Entity Type:Organization
Organization Name:DUFER LLC
Other - Org Name:POST PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:D
Authorized Official - Last Name:FERDINANDS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:617-860-6430
Mailing Address - Street 1:235 CYPRESS STREET
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7982
Mailing Address - Country:US
Mailing Address - Phone:617-860-6430
Mailing Address - Fax:617-731-4162
Practice Address - Street 1:235 CYPRESS STREET
Practice Address - Street 2:SUITE 110
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7982
Practice Address - Country:US
Practice Address - Phone:617-860-6430
Practice Address - Fax:617-731-4162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA194672251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty