Individual
JESSAKA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
486 TURNER CTR RD, TURNER, ME 04282-3954
(207) 225-3045
Mailing address
486 TURNER CTR RD, TURNER, ME 04282-3954
(207) 225-3045
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1916
ME
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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