| NPI | 1205126778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH THIEME Owner / Provider 207-781-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME 1596) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2023-04-21 |