| NPI | 1043067432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLIE GEIGER Owner 207-841-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-08-04 |