Alicia Nicole Gardner, MOT, OTR/L

NPI #1215434899 in Augusta, Maine

Provider Information

NPI Number
1215434899
Entity Type
Individual
Name
Alicia Nicole Gardner, MOT, OTR/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
MOT, OTR/L
Enumeration Date
Apr 10, 2018
Last Updated
Apr 10, 2018

Practice Location

Address
12 SHUMAN AVE STE 16
State
Maine
ZIP Code
04330-6020
Phone
(207) 623-3900

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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