Individual
MR. TERRANCE GERARD NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2351 HUDSON ROAD, HPC ROOM 003D UNIVERSITY OF NORTHERN IOWA, CEDAR FALLS, IA 50613-6414
(319) 276-6414
(319) 273-7023
Mailing address
3919 BEAVER RIDGE TRAIL, CEDAR FALLS, IA 50613
(319) 268-9318
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
00123
IA
2255A2300X
Athletic Trainer
Primary
00123
IA
Other
Enumeration date
06/09/2006
Last updated
07/31/2008
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