| NPI | 1043266646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAN MARTIN TEIXEIRA Physical Therapist/ Owner 207-777-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT2321) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2010-12-09 |