Individual
MR. JOHN GERARD WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
805 STEVENS AVE, PORTLAND, ME 04103-2647
(207) 317-1370
Mailing address
142 CURTIS RD, PORTLAND, ME 04103-2902
(207) 317-1370
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT3522
ME
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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