MRS. Nicole L Shores, COTA/L

NPI #1205142072 in Waterville, Maine

Provider Information

NPI Number
1205142072
Entity Type
Individual
Name
MRS. Nicole L Shores, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Aug 31, 2010
Last Updated
Aug 31, 2010

Practice Location

Address
58 DRUMMOND AVE
State
Maine
ZIP Code
04901-5755
Phone
(207) 873-0695

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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