Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 4637 | WI |
N | 2251E1200X | Ergonomics | 4637 | WI |
N | 225XE1200X | Ergonomics | 4637 | WI |
N | 225XH1200X | Occupational Therapist - Hand | 4637 | WI |
N | 2251H1300X | Human Factors | 4637 | WI |
N | 225XH1300X | Human Factors | 4637 | WI |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 4637 | WI |
NPI | 1649433400 |
---|---|
Provider Name | David Ralph Noeldner |
First Address | Medford, WI 54451-1622 |
Second Address | Medford, WI 54451 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2008 |
Last Update Date | 02/07/2008 |