Individual
COLLEEN NOGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
22 OLYMPIA DRIVE, MARLTON, NJ 08053
(609) 472-5452
Mailing address
22 OLYMPIA DR, MARLTON, NJ 08053-3846
(609) 472-5452
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC013422
PA
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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