Provider Demographics
NPI:1871074179
Name:HSU, CAITLIN ELAINE (PT, DPT)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:ELAINE
Last Name:HSU
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:ELAINE
Other - Last Name:ABUSAMRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:36 WESSON TER
Mailing Address - Street 2:
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-1960
Mailing Address - Country:US
Mailing Address - Phone:774-258-1008
Mailing Address - Fax:
Practice Address - Street 1:36 WESSON TER
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-1960
Practice Address - Country:US
Practice Address - Phone:774-258-1008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA294945225100000X
MA21175225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist