Individual
REBECCA A DEMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
79 VESPER ST, PORTLAND, ME 04101-4436
(207) 318-1931
Mailing address
79 VESPER ST, PORTLAND, ME 04101-4436
(207) 318-1931
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2314
ME
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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