| NPI | 1285073593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI S ST. HILAIRE Sole Proprietor, Ot 207-240-7543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2016-09-19 |