Individual
NICHOLAS WAYNE FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
46 FAIRVIEW AVE, SKOWHEGAN, ME 04976-1481
(207) 474-5121
Mailing address
476 WATERVILLE RD, SKOWHEGAN, ME 04976-4814
(207) 951-8122
(207) 951-8122
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7205
ME
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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