| NPI | 1073747713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIE B WYMAN Occupational Therapist 207-468-1293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: ME OT304) |
| Enumeration Date | 2009-05-10 |
| Last Update Date | 2009-05-10 |