| NPI | 1134242993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN CORBETT Billing Representative 207-497-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ME 55820) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2012-02-02 |