Individual
NICOLE ASHLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
895 PORTLAND RD, SACO, ME 04072-9673
(207) 439-5104
Mailing address
150B BROADTURN RD, SCARBOROUGH, ME 04074-9600
(978) 424-6658
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA3005
ME
Other
Enumeration date
04/19/2015
Last updated
04/19/2015
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