| NPI | 1508427162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYTLEN ANNE DAVIS Owner 207-333-5022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 251E00000X Home Health | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2022-09-08 |