Provider Demographics
NPI:1366197758
Name:HUDSON IN HOME PHYSICAL THERAPY AND OCCUPATIONAL THERAPY PLLC
Entity type:Organization
Organization Name:HUDSON IN HOME PHYSICAL THERAPY AND OCCUPATIONAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOBERFELD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:347-947-3132
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:347-947-3132
Mailing Address - Fax:347-438-2942
Practice Address - Street 1:1 BLACKSTONE PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-3607
Practice Address - Country:US
Practice Address - Phone:347-947-3132
Practice Address - Fax:347-438-2942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-15
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty