Provider Demographics
NPI:1013383512
Name:RAFIQUE, NOREEN (OTR/L)
Entity Type:Individual
Prefix:
First Name:NOREEN
Middle Name:
Last Name:RAFIQUE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12827 RAMSGATE CT
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-9021
Mailing Address - Country:US
Mailing Address - Phone:317-660-4682
Mailing Address - Fax:
Practice Address - Street 1:12827 RAMSGATE CT
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-9021
Practice Address - Country:US
Practice Address - Phone:317-660-4682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31005879A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist