Individual
JUSTIN R BRISSETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 THOMAS POINT RD, BRUNSWICK, ME 04011-3911
(207) 442-0325
(207) 607-4097
Mailing address
505 MIDDLE ST, BATH, ME 04530-1828
(207) 619-0256
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT7415
ME
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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