Provider Demographics
NPI:1841478401
Name:THE POSTUREWORKS LLC
Entity type:Organization
Organization Name:THE POSTUREWORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DERRICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-431-0900
Mailing Address - Street 1:30 RIVERDALE RD
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-1639
Mailing Address - Country:US
Mailing Address - Phone:781-431-0900
Mailing Address - Fax:781-207-8442
Practice Address - Street 1:30 RIVERDALE RD
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-1639
Practice Address - Country:US
Practice Address - Phone:781-431-0900
Practice Address - Fax:781-207-8442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA-5524332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies