| NPI | 1295242923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER S PRIBISH Owner 207-347-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: ME AT433) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: ME AT241) |
| 2255A2300X Specialist/Technologist Athletic Trainer (Licence: ME AT500) | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-06-16 |