Provider Demographics
NPI:1063705697
Name:IN HOME REHABILITATION AND WELLNESS ASSOCIATES
Entity type:Organization
Organization Name:IN HOME REHABILITATION AND WELLNESS ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:APOSTOLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:KOUTOULAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-373-0002
Mailing Address - Street 1:356 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-4008
Mailing Address - Country:US
Mailing Address - Phone:978-373-0002
Mailing Address - Fax:978-914-7824
Practice Address - Street 1:356 MAIN ST
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-4008
Practice Address - Country:US
Practice Address - Phone:978-373-0002
Practice Address - Fax:978-914-7824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-16
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10179225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty