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NPI Code Detail

MEDICARE: DIONNA NOONAN OTR/L

MEDICARE: DIONNA NOONAN OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XG0600XGerontology Occupational TherapistOT-5613OH

General Provider Information

NPI Number : 1164797999
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIONNA NOONAN OTR/L
Provider Business Mailing Address
First Line : 804 S MUMAUGH RD
Second Line :
City : LIMA
State : OH
Zip : 45804-3569
Country : US
Telephone Number : 419-225-9040
Fax Number : 419-225-9835
Provider Business Practice Location Address
First Line : 804 S MUMAUGH RD
Second Line :
City : LIMA
State : OH
Zip : 45804-3569
Country : US
Telephone Number : 419-225-9040
Fax Number : 419-225-9835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2012
Last Update Date : 03/13/2012

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Directions to “ DIONNA NOONAN OTR/L” Practice Location

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