NPI 1861775520

Marie St.John Noonan, PTA

Practitioner Physical Therapy Assistant Watertown, CT

Practice location

Address: 35 Bunker Hill Rd, Watertown, CT 06795-3304
Phone: (860) 274-5428
Mailing address: 5 Remsen Rd, Litchfield, CT 06759-3840

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 000494 (CT)

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Registry record

NPI: 1861775520
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2011
Record last updated: 20 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.