| NPI | 1063225837 |
|---|---|
| Doing Business As | NORTH STAR PEDS |
| Entity Type | Organization |
| Authorized Contact | RAINALD GERVAIS Clinic Administrator 207-498-9507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-09-15 |