Individual
CHRISTINE RODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
97 INDIA ST, PORTLAND, ME 04101-4248
(207) 347-7132
(207) 347-3527
Mailing address
97 INDIA ST, PORTLAND, ME 04101-4248
(207) 347-7132
(207) 347-3527
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT3237
ME
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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