Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 8835 | CA |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT4313 | WA |
NPI | 1144461344 |
---|---|
Provider Name | Miss Heather Marie Noel |
First Address | Tacoma, WA 98405-4933 |
Second Address | Tacoma, WA 98405-4933 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2009 |
Last Update Date | 18/03/2009 |