| NPI | 1760763155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LYNNE ROBERTS Physician 207-541-9285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME 1838) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2012-01-26 |