| NPI | 1275033078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON RENA LAMARRE POOLE Manager, Owner 207-358-8161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: ME PT3294) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |