Individual
PAYSON W NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
11 MAIN RD N, HAMPDEN, ME 04444
(207) 862-3906
Mailing address
168 W BROADWAY, BANGOR, ME 04401-5977
(207) 299-2289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5319
ME
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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