Individual
MICHELLE NICOLE NOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Mailing address
122 GREENS VIEW DR, MADISON, MS 39110-8854
(404) 263-7376
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2589
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT2589
OCCUPATIONAL THERAPIST
MS
Enumeration date
11/15/2013
Last updated
11/15/2013
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