| NPI | 1174855449 |
|---|---|
| Doing Business As | OSTEOPATHIC SPORT & SPINE |
| Entity Type | Organization |
| Authorized Contact | MIGUEL VELAZQUEZ Owner/Physician 207-854-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME 1761) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-02-11 |