Individual
MRS. B JEANINE NOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
175 S UNION BLVD STE 255, COLORADO SPRINGS, CO 80910-3126
(719) 305-8222
Mailing address
175 S UNION BLVD STE 255, COLORADO SPRINGS, CO 80910-3126
(719) 305-8222
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
Primary
1913
CO
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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