Organization
NOONAN PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI NOONAN PT (PRESIDENT)
(802) 253-5694
Entity
Organization
Contact information
Practice address
4968 MOUNTAIN RD, STOWE, VT 05672-4885
(802) 253-5694
(802) 253-5697
Mailing address
4968 MOUNTAIN RD, PO BOX 3421, STOWE, VT 05672-4885
(802) 253-5694
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN3447
—
VT
Enumeration date
05/20/2006
Last updated
08/22/2020
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