Individual
MATTHEW J POTVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
187 MAIN ST, SUITE 3, FARMINGTON, ME 04938-5842
(207) 778-5600
Mailing address
187 MAIN ST, SUITE 3, FARMINGTON, ME 04938-5842
(207) 778-5600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4144
ME
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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