Individual
NICHOLAS M ADRIANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC, CSCS
Contact information
Practice address
45 WESTERN AVE, SOUTH PORTLAND, ME 04106-2411
(207) 772-2625
Mailing address
582 DUCK POND RD, WESTBROOK, ME 04092-2510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT025247
PA
225100000X
Physical Therapist
Primary
PT4649
ME
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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