MR. John Gerard Williamson, LMT

NPI #1083867634 in Portland, Maine

Provider Information

NPI Number: 1083867634
Entity Type: Individual
Name: MR. John Gerard Williamson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 28, 2008
Last Updated: Oct 28, 2008

Practice Location

Address: 805 STEVENS AVE
City: Portland
State: Maine
ZIP Code: 04103-2647
Phone: (207) 317-1370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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