| NPI | 1225210396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HODSON BEAUCHESNE Physical Therapist 207-324-3745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT882) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2024-05-20 |