Individual
NICOLE WEITZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 STATE RD # 222, BATH, ME 04530-6017
(860) 300-9928
Mailing address
10 STATE RD # 222, BATH, ME 04530-6017
(860) 300-9928
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11513A
AZ
225200000X
Physical Therapy Assistant
Primary
PA7066
ME
Other
Enumeration date
10/05/2012
Last updated
03/05/2026
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