| NPI | 1285033779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANNE TRACY Occupational Therapy Assistant 207-313-1419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: ME OA2639) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |