| NPI | 1801030374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY J. PRESTON Director 207-764-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |