Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 5501018452 | MI |
NPI | 1033629324 |
---|---|
Provider Name | Dr. Caitlin Nora Noble |
First Address | Pinckney, MI 48169-8253 |
Second Address | Novi, MI 48374-1319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2017 |
Last Update Date | 02/10/2017 |