Individual
MR. DENNIS JOHN NOONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS,LMT
Contact information
Practice address
35506 RED TAIL RD, LEWES, DE 19958-7034
(917) 670-2522
Mailing address
35506 RED TAIL RD, LEWES, DE 19958-7034
(917) 670-2522
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000499
NY
2255A2300X
Athletic Trainer
J3-0000406
DE
Other
Enumeration date
01/24/2008
Last updated
01/06/2017
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