Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 2439-026 | WI |
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 2439-026 | WI |
NPI | 1891916532 |
---|---|
Provider Name | Janice Elaine Noffke |
First Address | Appleton, WI 54915-6126 |
Second Address | Appleton, WI 54915-6126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 21/03/2013 |