| NPI | 1831424159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LEE BICKMORE Owner 207-899-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME ME1002) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2009-10-04 |
| Last Update Date | 2009-10-04 |