| NPI | 1992205249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY SUE SMITH Owner 207-321-1015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: ME OA622) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |