Individual
ANDREW O'CONNELL-SHEVENELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
222 SAINT JOHN ST, SUITE 208, PORTLAND, ME 04102-3041
(207) 358-9631
Mailing address
222 SAINT JOHN ST, SUITE 208, PORTLAND, ME 04102-3041
(207) 358-9631
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4512
ME
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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