| NPI | 1104358365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLAN OLIVER Owner 207-348-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: ME PT4816) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2024-12-30 |