Individual
SEPTEMBER ANN BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6 WELLSPRING RD STE 206, BIDDEFORD, ME 04005-8418
(207) 494-4656
Mailing address
2 AUTUMN LN, BIDDEFORD, ME 04005-9429
(207) 281-3505
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5155
ME
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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