Provider Demographics
NPI:1235638479
Name:INNER STRENGTH PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:INNER STRENGTH PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERTONI-HICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:781-718-8336
Mailing Address - Street 1:7 GLEN RIDGE TER
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1137
Mailing Address - Country:US
Mailing Address - Phone:781-718-8336
Mailing Address - Fax:
Practice Address - Street 1:7 GLEN RIDGE TER
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1137
Practice Address - Country:US
Practice Address - Phone:781-718-8336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health