Individual
LOREN HASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
15 PARKMAN ST, BOSTON, MA 02114-3117
(617) 726-2960
Mailing address
9 SHANNON ST APT 2, BRIGHTON, MA 02135-3408
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
24666
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24666
PROFESSIONAL CREDENTIAL SERVICES
MA
Enumeration date
11/12/2019
Last updated
11/12/2019
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