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Individual

MR. NICHOLAS GILBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
440 MINOT AVE, AUBURN, ME 04210-4332
(207) 784-3573
Mailing address
5 PONDVIEW DR, LEWISTON, ME 04240-2223
(207) 754-6459

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3624
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
414410
NBCOT
01
OT3624
STATE OF MAINE DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
ME
Enumeration date
05/02/2019
Last updated
05/02/2019
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