| NPI | 1225769086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE FEDORKA Owner/Physical Therapist 207-939-6896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |