| NPI | 1386686616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J EZZY Vice President 207-498-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-10-28 |