Individual
MRS. NICOLE L SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
58 DRUMMOND AVE, WATERVILLE, ME 04901-5755
(207) 873-0695
Mailing address
20 DEAN ST, WINSLOW, ME 04901-6738
(207) 859-2313
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA1869
ME
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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