| NPI | 1609123462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR ELLEN PRENDERGAST Principal Pediatric Ot 207-286-6832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NH 2020) |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2012-08-12 |