Individual
ALICIA MARIE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
28 WINTER ST, NORWAY, ME 04268-5653
(207) 739-2021
Mailing address
5 DINER DR STE 49, SCARBOROUGH, ME 04074-3202
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
TO3489
ME
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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