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 1:4 RICHMOND SQ
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-5117
Mailing Address - Country:US
Mailing Address - Phone:401-433-4172
Mailing Address - Fax:401-433-0612
Practice Address - Street 1:356 THIRD ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02142-1111
Practice Address - Country:US
Practice Address - Phone:617-714-5402
Practice Address - Fax:844-912-8604
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17122225100000X, 2251G0304X
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