Individual
STACEY S NICOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
15 STRAWBERRY AVE, LEWISTON, ME 04240-5941
(207) 777-7740
Mailing address
116 FISH ST, TURNER, ME 04282-3250
(207) 740-0259
(207) 777-7748
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2833
ME
Other
Enumeration date
04/23/2012
Last updated
04/18/2025
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