| NPI | 1578952446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G FERENTZ Chief Financial Officer 207-523-3648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 207N00000X Dermatology |
| 208000000X Pediatrics | |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2021-07-15 |