Elexa Nickerson

NPI #1285188052 in Orono, Maine

Provider Information

NPI Number: 1285188052
Entity Type: Individual
Name: Elexa Nickerson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 10, 2016
Last Updated: Aug 10, 2016

Practice Location

Address: 117 BENNOCH RD
City: Orono
State: Maine
ZIP Code: 04473-3620
Phone: (207) 866-4914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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