NPI | 1346596483 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES L. CARR Provider/President/Owner 207-985-0011 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME 1555) |
Enumeration Date | 2012-07-26 |
Last Update Date | 2012-07-26 |