| NPI | 1457377046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO J. DUGAL CEO/Physical Therapist 207-989-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT 1571) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |