Individual
NANCY NOELLE CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1050 DELAWARE AVE, MARION, OH 43302
(740) 383-8055
(740) 375-8159
Mailing address
PO BOX 1827, MARION, OH 43301-1827
(740) 383-8055
(740) 375-8159
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002441
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351725
ANTHEM
OH
01
—
000000351725
ANTHEM
—
01
—
311704991
PHYSICIANS NON PHYSICIANS
—
Enumeration date
06/09/2006
Last updated
10/29/2009
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