| NPI | 1093194508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE MARIE TREMBLAY Physical Therapist 207-459-4716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT1381) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-06-09 |