Individual
DANIELLE SOUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 YOUNG LAKE RD, WESTFIELD, ME 04787-3211
(207) 314-0810
Mailing address
335 YOUNG LAKE RD, WESTFIELD, ME 04787-3211
(207) 314-0810
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA2979
ME
225700000X
Massage Therapist
MT3270
ME
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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