Individual
MRS. SUZANNE LINDA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 EASTVIEW PKWY, SUITE # 3, SACO, ME 04072-6701
(207) 749-8417
Mailing address
PO BOX 1031, GORHAM, ME 04038-7031
(207) 749-8417
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT162
ME
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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