| NPI | 1801244801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY AR VOLK Member 207-781-5369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: ME PT1672) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: ME C52330) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |