Individual
NICOLE EMILY PAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6448 MAIN ST, TRUMBULL, CT 06611-2075
(203) 268-6204
Mailing address
9 JENYFER CT, SHELTON, CT 06484-5632
(203) 414-1452
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
48.005760
CT
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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