NPI 1205142072

Nicole L Shores, COTAL

Practitioner Occupational Therapy Assistant Waterville, ME

Practice location

Address: 58 Drummond Ave, Waterville, ME 04901-5755
Phone: (207) 873-0695
Mailing address: 20 Dean St, Winslow, ME 04901-6738

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OA1869 (ME)

Other Occupational Therapy Assistant providers in Maine →

Registry record

NPI: 1205142072
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2010
Record last updated: 31 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.