Individual
JENNIFER NOECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 NOYES ST, UTICA, NY 13502-3854
(315) 738-3979
(315) 738-4459
Mailing address
1400 NOYES ST, UTICA, NY 13502-3854
(315) 738-3979
(315) 738-4459
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
006374-1
NY
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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