Provider Demographics
NPI:1740557743
Name:IN SYNC PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:IN SYNC PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:COLLAMORE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, MSPT, OCS
Authorized Official - Phone:781-405-8792
Mailing Address - Street 1:23 ALMERIA CIR
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-1957
Mailing Address - Country:US
Mailing Address - Phone:781-405-8792
Mailing Address - Fax:
Practice Address - Street 1:1798A MASSACHUSETTS AVENUE
Practice Address - Street 2:SUITE 2
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140
Practice Address - Country:US
Practice Address - Phone:781-405-8792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-19
Last Update Date:2011-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15186261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy