| NPI | 1053343202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC G MALON Owner 207-283-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-02-13 |