Laura Share, L.M.T

NPI #1093110769 in Portland, Maine

Provider Information

NPI Number: 1093110769
Entity Type: Individual
Name: Laura Share, L.M.T
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T
Enumeration Date: Oct 23, 2014
Last Updated: Feb 2, 2016

Practice Location

Address: 12 REVERE ST
City: Portland
State: Maine
ZIP Code: 04103-4410
Phone: (207) 239-7683

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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