Provider Demographics
NPI:1942572375
Name:NOXSEL, SUE (OT)
Entity Type:Individual
Prefix:MS
First Name:SUE
Middle Name:
Last Name:NOXSEL
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9824 SPARROW PL
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9325
Mailing Address - Country:US
Mailing Address - Phone:513-398-2525
Mailing Address - Fax:
Practice Address - Street 1:9824 SPARROW PL
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9325
Practice Address - Country:US
Practice Address - Phone:513-398-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH001464225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist