| NPI | 1366098477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA BAKER GOULET Occupational Therapist 207-659-1453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |