Individual
GABRIELLE NICOLE ST PIERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
24 OLD ETNA RD, LEBANON, NH 03766-1937
(603) 448-2234
Mailing address
23 VIVIAN ST, AUBURN, ME 04210-5558
(207) 631-8871
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0881
NH
224Z00000X
Occupational Therapy Assistant
TA4107
ME
224Z00000X
Occupational Therapy Assistant
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Other
Enumeration date
06/08/2021
Last updated
03/22/2022
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