Individual
SUSAN PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 GRAY RD, FALMOUTH, ME 04105-2018
(207) 420-1420
Mailing address
38 TURNER ST, PORTLAND, ME 04101-3222
(207) 420-1420
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5217
ME
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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