Provider Demographics
NPI:1467902072
Name:NOLAND, ANNE FRANCES (OTR/L)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:FRANCES
Last Name:NOLAND
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:PO BOX 141
Mailing Address - Street 2:
Mailing Address - City:CASSANDRA
Mailing Address - State:PA
Mailing Address - Zip Code:15925-0141
Mailing Address - Country:US
Mailing Address - Phone:814-713-8322
Mailing Address - Fax:
Practice Address - Street 1:310 PENN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:HOLLIDAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16648-2044
Practice Address - Country:US
Practice Address - Phone:814-695-2923
Practice Address - Fax:814-695-2924
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC014526225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist