| NPI | 1942630918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY A DEFEO Owner 207-467-5932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME 1313) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |