Provider Demographics
NPI:1245425743
Name:MARCIA F HOOD RPT INC
Entity Type:Organization
Organization Name:MARCIA F HOOD RPT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:F
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:781-826-0944
Mailing Address - Street 1:51 MILL ST STE 12
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-1652
Mailing Address - Country:US
Mailing Address - Phone:781-826-0944
Mailing Address - Fax:
Practice Address - Street 1:51 MILL ST STE 12
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-1652
Practice Address - Country:US
Practice Address - Phone:781-826-0944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-08
Last Update Date:2007-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1084261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9365041OtherBLUE CROSS BLUE SHIELD