Individual
MRS. NOELLE BETH HAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
312 E 14TH ST, KAUKAUNA, WI 54130-3371
(920) 766-6020
Mailing address
W3048 JUST ABOUT LN, APPLETON, WI 54915-3997
(920) 687-0569
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
866-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40711500
—
WI
Enumeration date
10/14/2008
Last updated
10/14/2008
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