| NPI | 1316448020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE LYNN MACLEOD Physical Therapist/Owner 207-619-2051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME 3664) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-04-09 |