Most Relevant Information
Provider Data
| NPI Number: | 1003573908 |
| Provider Name: | PAYSON W NICHOLS DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT5319 |
Most Important Dates
| Enumeration Date: | 11/26/2021 |
| Last Updated: | 11/26/2021 |
Provider Practice Location
11 MAIN RD N
HAMPDEN
ME
04444
Practice Location Phone/Fax
| Phone: | 2078623906 |
| Fax: |
Provider Mailing Location
168 W BROADWAY
BANGOR
ME
044015977
Provider Mailing Phone/Fax
| Phone: | 2072992289 |
| Fax: |