Individual
GRACE ANN PARISEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
256 ROUTE 1, FALMOUTH, ME 04105-1399
(207) 615-7535
Mailing address
106 BROOK RD, PORTLAND, ME 04103-6104
(207) 615-7535
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT 1141
ME
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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