| NPI | 1265748909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN WHITE Owner 207-318-4326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 8993) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |