Provider Demographics
NPI:1326216029
Name:NORWOOD PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:NORWOOD PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-762-0050
Mailing Address - Street 1:49 WALPOLE ST
Mailing Address - Street 2:STE 5
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3341
Mailing Address - Country:US
Mailing Address - Phone:781-762-0050
Mailing Address - Fax:781-762-0059
Practice Address - Street 1:49 WALPOLE ST
Practice Address - Street 2:STE 5
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3341
Practice Address - Country:US
Practice Address - Phone:781-762-0050
Practice Address - Fax:781-762-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty