Healthcare Provider Details

I. General information

NPI: 1174697247
Provider Name (Legal Business Name): LAURA DIANE FREEMAN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 INDUSTRIAL PARK RD
HINGHAM MA
02043
US

IV. Provider business mailing address

529 HIGH ROCK ST
NEEDHAM MA
02492
US

V. Phone/Fax

Practice location:
  • Phone: 781-749-7518
  • Fax:
Mailing address:
  • Phone: 781-267-5376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5425
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number5425
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: