Individual
MS. SUSAN VITTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
67 NORTH ST, 1ST FLOOR, PORTLAND, ME 04101-2777
(210) 559-6419
Mailing address
67 NORTH ST, 1ST FLOOR, PORTLAND, ME 04101-2777
(210) 559-6419
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4173
ME
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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