| NPI | 1891369716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JEAN BUJA Physical Therapist 207-696-3688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2021-05-15 |
| Last Update Date | 2021-05-18 |