Provider Demographics
NPI:1437590494
Name:NOONAN, EMILY NORA (DPT)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:NORA
Last Name:NOONAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:NORA
Other - Last Name:HELLMUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:21 STILLMAN ST
Mailing Address - Street 2:APARTMENT 1
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1381
Mailing Address - Country:US
Mailing Address - Phone:614-746-8961
Mailing Address - Fax:
Practice Address - Street 1:21 STILLMAN ST
Practice Address - Street 2:APARTMENT 1
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1381
Practice Address - Country:US
Practice Address - Phone:614-746-8961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37929225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist