Individual
LAURA SHARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
12 REVERE ST, PORTLAND, ME 04103-4410
(207) 239-7683
Mailing address
153 DARTMOUTH ST, UNIT 2, PORTLAND, ME 04103-4810
(207) 239-7683
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT 5013
ME
Other
Enumeration date
10/23/2014
Last updated
02/02/2016
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