David Ralph Noeldner OTRL

NPI 1649433400 - Occupational Therapist - 225XE1200X

NPI Details
NPI 1649433400
Gender Male
Enumeration Date 07/02/2008
Last Updated 07/02/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
103 S GIBSON ST
MEDFORD WI, 54451, US
Phone (715) 748-8112
Fax (715) 748-8792
Business Location
135 S GIBSON ST
MEDFORD WI, 54451-1622, US
Phone (715) 748-8100
Fax (715) 748-8199
Toxanomy
Taxonomy Code 225XE1200X
License State Wisconsin
License Number 4637
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According to our database, David Ralph Noeldner OTRL NPI is 1649433400, taxonomy code is 225XE1200X and license number is 4637, license state is located at Wisconsin. David Ralph Noeldner OTRL physically located at 103 S Gibson St, Medford WI, 54451. NPI Number David Ralph Noeldner OTRL has the Individual type.

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1649433400 NPI number is provided on an as is basis without warranty of any kind. 1649433400 is maintained by the National Plan & Provider Enumeration System. The contents of David Ralph Noeldner OTRL are for informational purposes only.