Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 17122 | MA |
NPI | 1124019658 |
---|---|
Provider Name | Dr. Lori W Zasloff |
First Address | Somerville, MA 02143-3108 |
Second Address | Cambridge, MA 02138-1116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2005 |
Last Update Date | 08/07/2007 |