NPI | 1780736363 |
---|---|
Entity Type | Organization |
Authorized Contact | GRETCHEN SIBLEY Owner And Provider 207-443-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
Enumeration Date | 2007-01-17 |
Last Update Date | 2023-12-01 |