Nicole Renee Morse, | |
118 Moosehead Trl Ste 3, Newport, ME 04953-4056 | |
(207) 368-2036 | |
Not Available |
Full Name | Nicole Renee Morse |
---|---|
Gender | Female |
Speciality | Physical Therapist - Orthopedic |
Location | 118 Moosehead Trl Ste 3, Newport, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154065100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT3183 (Maine) | Primary |
Provider Name | Function First Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154094506 PECOS PAC ID: 3779960927 Enrollment ID: O20220510000858 |
Mailing Address | Practice Location Address |
---|---|
Nicole Renee Morse, 118 Moosehead Trl, Newport, ME 04953-4055 Ph: (207) 368-2036 | Nicole Renee Morse, 118 Moosehead Trl Ste 3, Newport, ME 04953-4056 Ph: (207) 368-2036 |
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