| NPI | 1376841775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN NOBLE HECKERD President 207-236-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: ME PT1472) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2016-04-02 |