| NPI | 1073941464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SAMSON Principal 888-575-4202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: ME ot1541) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |