Provider Demographics
NPI:1538234596
Name:O'CONNELL, NOREEN ANNE (PT)
Entity type:Individual
Prefix:
First Name:NOREEN
Middle Name:ANNE
Last Name:O'CONNELL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 WIND ELM DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-4333
Mailing Address - Country:US
Mailing Address - Phone:469-228-5004
Mailing Address - Fax:
Practice Address - Street 1:5255 N PRESIDENT GEORGE BUSH HWY
Practice Address - Street 2:STE 100
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-2765
Practice Address - Country:US
Practice Address - Phone:972-675-3609
Practice Address - Fax:972-675-3638
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist