Individual
ELEANOR COFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1483 CAMBRIDGE ST, CAMBRIDGE, MA 02139
(617) 665-1000
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12831
MA
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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