Individual
HEIDI NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4968 MOUNTAIN RD, STOWE, VT 05672-4885
(802) 253-5694
Mailing address
232 MUDGETT FARM RD, JEFFERSONVILLE, VT 05464-9309
(802) 644-5565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0002657
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008799
—
VT
Enumeration date
10/04/2006
Last updated
11/05/2007
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