| NPI | 1043500119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN ANNE HUNTRESS Physical Therapist 207-583-6279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: ME PT698) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-29 |