Individual
NICOLE KRISTINE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
601 STILLWATER AVE, OLD TOWN, ME 04468-2215
(207) 436-5510
Mailing address
1197 COLLEGE AVE, OLD TOWN, ME 04468-5144
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
02/13/2024
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