| NPI | 1477578268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J SULLIVAN President 207-725-7578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT741) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT745) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-07-30 |