Individual
CAITLIN FLECK-NOOMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
7200 JIM COTTRELL CIRCLE, PALMER, AK 99645
(907) 982-3897
Mailing address
PO BOX 876104, WASILLA, AK 99687-6104
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
211815
AK
225XP0200X
Pediatric Occupational Therapist
Primary
211815
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184022550
—
AK
Enumeration date
07/11/2023
Last updated
07/11/2023
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