Individual
NICKY OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
89 LARRABEE RD, WESTBROOK, ME 04092-4744
(207) 854-2001
(207) 854-2004
Mailing address
89 LARRABEE RD, WESTBROOK, ME 04092-4744
(207) 854-2001
(207) 854-2004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT3405
ME
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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