Individual
ELIZABETH NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 BAXTER BLVD, PORTLAND, ME 04103-4901
(207) 774-7878
Mailing address
850 BAXTER BLVD, PORTLAND, ME 04103-4901
(207) 774-7878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2713
ME
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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