Individual
TAMMY JO AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
118 MAINE MALL RD, SOUTH PORTLAND, ME 04106-2309
(207) 772-1031
Mailing address
118 MAINE MALL RD, SOUTH PORTLAND, ME 04106-2309
(207) 772-1031
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT6837
ME
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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