Individual
JAMIE LEE NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411
Mailing address
102 SKOWHEGAN RD, FAIRFIELD, ME 04937-3306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5137
ME
Other
Enumeration date
06/16/2018
Last updated
06/16/2018
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