Individual
THERISA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
77 CENTRAL ST STE 5, BOSTON, MA 02109-3400
(617) 270-9002
Mailing address
77 CENTRAL ST STE 5, BOSTON, MA 02109-3400
(617) 270-9002
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT8122
MA
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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