Doctor Name: | HEIDI NOONAN |
NPI Number: | 1386730034 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 040-0002657 |
Business Practice Address: | 4968 Mountain Rd Stowe, VT - 056724885 |
Business Phone Number: | 8022535694 |
Business Fax Number: | |
Mailing Address: | 232 Mudgett Farm Rd, JEFFERSONVILLE |
State: | VT |
Postal Code: | 054649309 |
Phone Number: | 8026445565 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 11/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 040-0002657 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |