| NPI | 1437520764 |
|---|---|
| Doing Business As | UNIVERSITY OF MAINE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |