| NPI | 1790830255 |
|---|---|
| Other Name | PROSPECT SPORTS MEDICINE & REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | DAVID JAMES PICKLE CEO 207-626-3333 |
| Organization Subpart ? | |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT2546) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |