Individual
LORA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 DEERFIELD RD, WINDSOR, CT 06095-4252
(860) 552-2002
Mailing address
100 DEERFIELD RD, WINDSOR, CT 06095-4252
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2727
CT
Other
Enumeration date
11/25/2014
Last updated
01/12/2016
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