Individual
MR. MASON COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
630 PARK ST, STOUGHTON, MA 02072-3659
(781) 626-2643
Mailing address
35 SENTINAL DR, WAKEFIELD, RI 02879-2368
(401) 742-6916
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16015
MA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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