| NPI | 1285703025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT P HERZOG Owner 207-883-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ME 1432) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2013-03-20 |