Individual
EMILY YVONNE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
88 WEST RD, WATERBORO, ME 04087-3209
(207) 247-3141
(207) 247-3146
Mailing address
12 THORNTON AVE # 101, SACO, ME 04072-2891
(207) 294-8448
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
AT693
ME
2255A2300X
Athletic Trainer
Primary
AT693
ME
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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