Individual
SUSAN M QUILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
41 BIRCH ST, 401, BIDDEFORD, ME 04005-3264
(207) 408-1765
(603) 929-5958
Mailing address
884 BROADWAY, SUITE 15, SOUTH PORTLAND, ME 04106-4371
(207) 409-5097
(603) 929-5958
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5381
ME
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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