Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey S Nicoll, MOT, OTR/L

Individual provider Occupational Therapist · NPI 1104184530

Stacey S Nicoll, MOT, OTR/L is an Occupational Therapist in Lewiston, Maine. Works from 2 locations. Licensed in Maine.

Licensed in
ME
In the registry since
2012
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

15 Strawberry Ave
Lewiston, ME 04240-5941
Phone: (207) 777-7740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 — (877) 407-3422

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT2833 (ME)

Record details

NPI number1104184530
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT , OTR/L
Sole proprietorNo
NPI enumeratedApril 23, 2012
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025

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