Provider Demographics
NPI:1275129488
Name:CORE HEALTH THERAPIES
Entity Type:Organization
Organization Name:CORE HEALTH THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:
Authorized Official - Last Name:BOTSIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:617-435-8749
Mailing Address - Street 1:32 MEETING HOUSE PATH
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-2347
Mailing Address - Country:US
Mailing Address - Phone:617-435-8749
Mailing Address - Fax:
Practice Address - Street 1:475 FRANKLIN ST STE 203
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-6265
Practice Address - Country:US
Practice Address - Phone:617-435-8749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty