Individual
AMY NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1130 NW HARRIMAN ST, BEND, OR 97703-1977
(541) 322-7500
(541) 322-7565
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
316047
OR
225XN1300X
Neurorehabilitation Occupational Therapist
OT 60430251
WA
Other
Enumeration date
02/07/2016
Last updated
08/24/2022
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