Individual
NOELLE VIDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 LUTHER RD, RED BLUFF, CA 96080-4256
(530) 527-6232
Mailing address
2544 WILKINS RD, SWANTON, OH 43558-9369
(419) 344-3082
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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