Individual
NICHOLAS BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L
Contact information
Practice address
24 STONE ST, AUGUSTA, ME 04330-5298
(207) 582-8400
Mailing address
157 PERHAM ST, FARMINGTON, ME 04938-1525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3952
ME
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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