Individual
EMILY M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
598 MAIN ST, #2, SOUTH PORTLAND, ME 04106-5411
(603) 662-6515
Mailing address
598 MAIN ST, #2, SOUTH PORTLAND, ME 04106-5411
(603) 662-6515
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5490
ME
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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