| NPI | 1457016404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY FALSO Managing Member 207-579-4255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2022-02-07 |