MEDICARE: ERIN L MASON M. OT, O.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	225X00000X	Occupational Therapist	12840	MA

General Provider Information

NPI Number	:	1548652613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN L MASON M. OT, O.T.

Provider Business Mailing Address
First Line	:	1 CREDIT UNION WAY FL 3
Second Line	:
City	:	RANDOLPH
State	:	MA
Zip	:	02368-4633
Country	:	US
Telephone Number	:	781-961-3370
Fax Number	:	781-961-1291

Provider Business Practice Location Address
First Line	:	1095 WASHINGTON ST
Second Line	:
City	:	ATTLEBORO
State	:	MA
Zip	:	02703-7944
Country	:	US
Telephone Number	:	508-761-5945
Fax Number	:	508-761-9111

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2015
Last Update Date	:	12/31/2018

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