Provider Demographics
NPI:1780107342
Name:IN HOME PHYSICAL THERAPY OF BOSTON PLLC
Entity type:Organization
Organization Name:IN HOME PHYSICAL THERAPY OF BOSTON PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOBERFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-209-3306
Mailing Address - Street 1:3801 N 40TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-1860
Mailing Address - Country:US
Mailing Address - Phone:617-209-3066
Mailing Address - Fax:617-209-6037
Practice Address - Street 1:501 HEATH ST
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-2351
Practice Address - Country:US
Practice Address - Phone:347-947-3132
Practice Address - Fax:947-438-2942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy