| NPI | 1063225837 |
|---|---|
| Doing Business As | NORTH STAR PEDS |
| Entity Type | Organization |
| Authorized Contact | RAINALD GERVAIS Operations Manager / Co Owner 207-498-9507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |