| NPI | 1699875674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA AYRE Owner 207-799-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2022-07-21 |