Jamie Lee Nickerson, DPT

NPI #1962996686 in Augusta, Maine

Provider Information

NPI Number: 1962996686
Entity Type: Individual
Name: Jamie Lee Nickerson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 16, 2018
Last Updated: Jun 16, 2018

Practice Location

Address: 1 VA CTR
City: Augusta
State: Maine
ZIP Code: 04330-6719
Phone: (207) 623-8411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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