# MICHAEL S NOONAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417923566
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 4262 | MA | — |
| 225100000X | Physical Therapist | 621 | RI | Yes |

## Other

- **Enumeration date:** 02/28/2006
- **Last updated:** 06/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 402266 | BLUE CHIP | RI |