| Doctor Name: | MRS. IRINA LOLA GUSINOV |
| NPI Number: | 1396726311 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHYSICAL THERAPIST |
| License Number: | 9318 |
| Business Practice Address: | 100 Cummings Ctr Suite 207h Beverly, MA - 019156115 |
| Business Phone Number: | 9789270907 |
| Business Fax Number: | |
| Mailing Address: | 51 Taft Ave, LEXINGTON |
| State: | MA |
| Postal Code: | 024214152 |
| Phone Number: | 7818617552 |
| Fax Number: | |
| NPI Enumeration Date: | 11/08/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 9318 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |