| NPI | 1346556610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MCKINLEY Credentialing 207-939-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT3044) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2015-04-15 |