Individual
MRS. HEATHER ANNE WREDE THOMKA-GAZDIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 OCEAN AVE STE 1, PORTLAND, ME 04103-4970
(207) 232-6088
Mailing address
535 OCEAN AVE STE 1, PORTLAND, ME 04103-4970
(207) 232-6088
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5232
ME
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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