NICOLE B. KENISTON

SCARBOROUGH, ME
NPI1598338154
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: ME  OT3968)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: ME  OT3968)
Enumeration Date2021-07-21
Last Update Date2024-01-29
Business Address
NICOLE B. KENISTON
152 US-1
SCARBOROUGH, ME 04074
Phone number: 207-883-5882
Mailing Address
NICOLE B. KENISTON
20 GOSHEN RD
WINDHAM, ME 04062-6309
Phone number: 078-076-2262