Provider Demographics
NPI:1164797999
Name:NOONAN, DIONNA (OTR/L)
Entity Type:Individual
Prefix:
First Name:DIONNA
Middle Name:
Last Name:NOONAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 S MUMAUGH RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-3569
Mailing Address - Country:US
Mailing Address - Phone:419-225-9040
Mailing Address - Fax:419-225-9835
Practice Address - Street 1:804 S MUMAUGH RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-3569
Practice Address - Country:US
Practice Address - Phone:419-225-9040
Practice Address - Fax:419-225-9835
Is Sole Proprietor?:No
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-5613225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology