Individual
MRS. PATRICIA LYNN RUTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
21 DONALD B. DEAN DRIVE, S. PORTLAND, ME 04106
(207) 874-9859
Mailing address
21 DONALD B. DEAN DRIVE, S. PORTLAND, ME 04106
(207) 874-9859
(207) 874-9859
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT1190
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350439700
US DEPT OF LABOR FEDERAL
—
Enumeration date
11/12/2009
Last updated
11/12/2009
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