Individual
DYANA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 GIBBS MILL RD, LIVERMORE, ME 04253-3067
(207) 897-3355
Mailing address
412 WELD RD, WILTON, ME 04294-5703
(207) 899-6095
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
2441
NH
225XP0200X
Pediatric Occupational Therapist
Primary
OT3683
ME
Other
Enumeration date
06/30/2016
Last updated
08/21/2023
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