| NPI | 1982910659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN HOLMES FUGAZZI Owner/President 207-794-3253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT331) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 169) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |