Individual
MRS. TERISA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16C LINCOLN ST, BRUNSWICK, ME 04011-1912
(207) 869-0423
Mailing address
115 BENS HILL RD, SABATTUS, ME 04280-4402
(207) 869-0423
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4628
ME
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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