| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1235601329 | AIELLO | STEVEN | JAMES | 582 ROOSEVELT TRL | WINDHAM | ME | 040624904 | |
| 1023323359 | CASE | MICHAEL | G | 584 ROOSEVELT TRAIL | WINDHAM | ME | 040624904 | |
| 1013548650 | GRANT | VOLHA | A | 582 ROOSEVELT TRL | WINDHAM | ME | 040624904 | |
| 1275931388 | SAWYER | NICOLE | 584 ROOSEVELT TRL | WINDHAM | ME | 040627302 |