Provider Demographics
NPI:1548652613
Name:MASON, ERIN L (M OT, OT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:MASON
Suffix:
Gender:F
Credentials:M OT, OT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:LOBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:1 CREDIT UNION WAY FL 3
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4633
Mailing Address - Country:US
Mailing Address - Phone:781-961-3370
Mailing Address - Fax:781-961-1291
Practice Address - Street 1:1095 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-7944
Practice Address - Country:US
Practice Address - Phone:508-761-5945
Practice Address - Fax:508-761-9111
Is Sole Proprietor?:No
Enumeration Date:2015-02-26
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
MA12840225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist