| NPI | 1932499209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY L PAYEUR Occupational Therapist 207-432-7260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT1775) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT3309) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |