NICOLE L SHORES

WATERVILLE, ME
NPI1205142072
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ME  OA1869)
Enumeration Date2010-08-31
Last Update Date2010-08-31
Business Address
Mrs. NICOLE L SHORES COTA/L
58 DRUMMOND AVE
WATERVILLE, ME 04901-5755
Phone number: 207-873-0695
Mailing Address
Mrs. NICOLE L SHORES COTA/L
20 DEAN ST
WINSLOW, ME 04901-6738
Phone number: 207-859-2313