| NPI | 1134192040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE MARIE HAGGERTY President 207-433-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2011-02-01 |