Organization
ROSLINDALE REHAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGA LIBERMAN PT (OWNER)
(617) 327-5600
Entity
Organization
Contact information
Practice address
4157 WASHINGTON STREET, ROSLINDALE, MA 02131
(617) 327-5600
(617) 327-5444
Mailing address
4157 WASHINGTON STREET, ROSLINDALE, MA 02131-1718
(617) 327-5600
(617) 327-5444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11357
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y61469
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/18/2007
Last updated
08/22/2018
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