Individual
MR. NICHOLAS THOMAS VITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
483 OCEAN ST, SOUTH PORTLAND, ME 04106-6615
(207) 615-3639
Mailing address
483 OCEAN ST, SOUTH PORTLAND, ME 04106-6615
(207) 615-3639
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2620
ME
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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