Individual
SUSAN L WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., L.M.T.
Contact information
Practice address
456 ROOSEVELT TRL, WINDHAM, ME 04062-6918
(207) 893-2310
Mailing address
456 ROOSEVELT TRL, WINDHAM, ME 04062-6918
(207) 893-2310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R021052
ME
225700000X
Massage Therapist
Primary
MT669
ME
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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