Individual
LISA JANICE COHEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
118 MAIN ST, SUITE 1B, WATERTOWN, MA 02472-4415
(617) 926-9770
Mailing address
138 ALBEMARLE RD, NEWTON, MA 02460-1135
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8449
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y67394
BLUECROSS BLUESHIELD
MA
Enumeration date
11/10/2005
Last updated
07/08/2007
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