| NPI | 1215333554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY LAWRENCE LIBBY CEO/Physical Therapist 207-356-9810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT4035) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |