| NPI | 1982790945 |
|---|---|
| Former Legal Business Name | PHILIP POUZOL PHYSICAL THERAPY, PA |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS J KINY Owner 207-990-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME 744) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-11-22 |