| NPI | 1548331861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GORDON HALDEMAN Owner And Provider 207-865-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2008-05-23 |