| NPI | 1326442245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE NOEL SQUIRES Owner 603-490-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: ME PT3287) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2015-04-13 |