| NPI | 1023244266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ID GOSCINSKI Director 207-725-6365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261QP2000X Clinic/Center Physical Therapy (Licence: ME PT2948) | |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-11 |