Individual
SUZANNE PHILP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
229 STATE ST, BANGOR, ME 04401-5414
(207) 951-3584
Mailing address
229 STATE ST # 18, BANGOR, ME 04401-5414
(207) 951-3584
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4506
ME
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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