| NPI | 1295757888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE BASSETT-WILLARD Physician/Owner 207-869-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-03-10 |