| NPI | 1942563747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY BEAULIEU Physical Therapist 207-316-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT1711) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |