Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NICHOLAS ANDREW BLACK, PTA
ActiveMR. NICHOLAS ANDREW BLACK, PTA is a Occupational Therapist healthcare provider located in LINCOLNVILLE, Maine. NPI 1568827657 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LINCOLNVILLE, ME
Registration Details
- NPI Number
- 1568827657
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 16, 2015 (10.622801830188 yrs)
- Last Updated
- Dec 16, 2015
- License
-
PA4548 (ME)
Practice Information
- Address
-
167 TUCKER BROOK RDLINCOLNVILLE, ME, 048495528Browse ME providers · Browse ZIP 04849
- Phone
- 2077632745
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.