Matthew J Potvin

NPI #1992141675 in Farmington, Maine

Provider Information

NPI Number: 1992141675
Entity Type: Individual
Name: Matthew J Potvin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: May 21, 2013
Last Updated: May 21, 2013

Practice Location

Address: 187 MAIN ST
Address 2: SUITE 3
City: Farmington
State: Maine
ZIP Code: 04938-5842
Phone: (207) 778-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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