Individual
JANE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 US ROUTE 1 STE A, SCARBOROUGH, ME 04074-7219
(207) 885-9415
Mailing address
1 MERRILL BROOK DR, SCARBOROUGH, ME 04074-9194
(207) 956-1578
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2782
ME
Other
Enumeration date
12/03/2013
Last updated
12/18/2013
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