MR. Walter Raymond Selens, L.M.T.

NPI #1366579955 in Portland, Maine

Provider Information

NPI Number: 1366579955
Entity Type: Individual
Name: MR. Walter Raymond Selens, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Feb 28, 2007
Last Updated: Jul 24, 2012

Practice Location

Address: 500 FOREST AVE.
Address 2: 2ND FLOOR
City: Portland
State: Maine
ZIP Code: 04101
Phone: (207) 838-4394

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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