Individual
LENA OLSSON NOONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5 WHITTIER PL, SUITE 101, BOSTON, MA 02114-1428
(617) 512-6856
Mailing address
19 SHEPARD ST, # 22, CAMBRIDGE, MA 02138-1728
(617) 868-3145
(617) 643-4015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1524
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0342645
—
MA
01
—
468019
TUFTS PPO OUT OF NETWORK
MA
01
—
70010000Y65126
BCBS PRODUCTS INDEMNITY, PPA, HMO BLUE, MEDICARE ADVANTAGE HMO AND PPO PLANS
MA
Enumeration date
11/17/2005
Last updated
10/23/2014
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