NPI 1063699064
Secret Beneath
Practice location
- Address
- 130 Congress St, Rumford, ME 04276-2035
- Phone
- (207) 364-7631
- Fax
- (207) 364-7631
Authorised official
- Name
- Samantha R Byam
- Title
- Owner
- Phone
- (207) 364-7631
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1063699064
- Entity type
- Organization
- NPI issued
- 22 Jan 2008
- Record last updated
- 16 Jul 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.