Individual
CAROL NIGHTINGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
618 MAIN ST, LEWISTON, ME 04240-5935
(207) 795-6110
(207) 795-6189
Mailing address
618 MAIN ST, LEWISTON, ME 04240-5935
(207) 795-6110
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OT1769
ME
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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