Individual
NICOLE DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5 DUNAWAY DR, SANFORD, ME 04073-5143
(207) 324-7955
Mailing address
1161 LEBANON RD, NORTH BERWICK, ME 03906-5512
(207) 459-6513
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4334
ME
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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