Provider Demographics
NPI:1124019658
Name:ZASLOFF, LORI W (PT DPT)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:W
Last Name:ZASLOFF
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:MS
Other - First Name:LORI
Other - Middle Name:J
Other - Last Name:WOOFTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT DPT
Mailing Address - Street 1:12 MUNROE ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-2009
Mailing Address - Country:US
Mailing Address - Phone:617-388-8823
Mailing Address - Fax:
Practice Address - Street 1:1493 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-1099
Practice Address - Country:US
Practice Address - Phone:617-665-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA171222251G0304X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY69675Medicare ID - Type Unspecified