Individual
MR. MATTHEW JOSEPH BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
593 CONGRESS ST, PORTLAND, ME 04101-3309
(207) 776-5266
Mailing address
4 SKYLINE RD, SOUTH PORTLAND, ME 04106-3831
(207) 776-5266
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT3972
ME
Other
Enumeration date
04/08/2011
Last updated
04/09/2011
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