Individual
PAMELA M ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
26 MILLYARD STE 7, AMESBURY, MA 01913-2429
(978) 808-9107
Mailing address
26 MILLYARD STE 7, AMESBURY, MA 01913-2429
(978) 808-9107
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10676
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10676
LICENSE
MA
01
—
2774
LICENSE
MA
Enumeration date
02/25/2020
Last updated
02/25/2020
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