Nicole P. Connolly, OTR/L
Occupational Therapist in Portland, ME. Individual provider (NPI-1).
NPI number1245547876
StatusActive
Last updated in NPPESSep 7, 2010
Details
- NPI
- 1245547876
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicole P. Connolly
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2010
- Last updated
- Sep 7, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT1497 | ME | Yes |
Practice location
196 Allen AvePortland, ME 04103-3711
Phone 207-874-8133
Mailing address
33 Lyman StWestbrook, ME 04092-3540
Phone 207-318-4353
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All 136 Occupational Therapist providers in Portland · All 7,184 providers in Portland
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