Individual
MRS. NICHOLE MARIE TREMBLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
13 BROCK AVE, SANFORD, ME 04073-1927
(207) 324-5477
Mailing address
225 7TH ST, ACTON, ME 04001-4607
(207) 450-4716
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT1381
ME
Other
Enumeration date
05/03/2010
Last updated
04/28/2020
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