Individual
ABBY ELIZABETH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 BRICKHILL AVE, SUITE 301, SOUTH PORTLAND, ME 04106-1999
(207) 879-7510
(207) 879-7511
Mailing address
100 BRICKHILL AVE, SUITE 301, SOUTH PORTLAND, ME 04106-1999
(207) 879-7510
(207) 879-7511
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4097
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT4097
LICENSE
—
Enumeration date
06/15/2009
Last updated
06/15/2009
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