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Individual

MS. BRIDGET KATRICIA CARVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
583 FOREST AVE., PORTLAND, ME 04101-1547
(207) 735-7995
Mailing address
186 BRIDGE STREET, APT. B, WESTBROOK, ME 04092-2933
(207) 735-7995

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4446
ME

Other

Enumeration date
02/09/2012
Last updated
02/09/2012
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