Individual
MR. GEORGE BENJAMIN COGGESHALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
33 KENT SQ, BROOKLINE, MA 02446-6937
(617) 734-5086
Mailing address
33 KENT SQ, BROOKLINE, MA 02446-6937
(617) 734-5086
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5740
MA
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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