Individual
MR. NATHAN EDWARD COOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
4879 OLD BUFFALO RD, WARSAW, NY 14569-9562
(585) 315-6812
(585) 786-2842
Mailing address
4879 OLD BUFFALO RD, WARSAW, NY 14569-9562
(585) 315-6812
(585) 786-2842
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027560
NY
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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