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Organization
NEW MOON THERAPY SERVICES LLC
Active
Organization
NEW MOON THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL LAUREN NOVAKOVICH DPT (PHYSICAL THERAPIST)
(412) 780-4035
Entity
Organization
Contact information
Practice address
1367 TARA RD, CHARLESTON, SC 29407-5131
(412) 780-4035
(866) 394-5788
Mailing address
1367 TARA RD, CHARLESTON, SC 29407-5131
(412) 780-4035
(866) 394-5788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG0982
—
SC
05
—
PG3639
—
SC
Enumeration date
03/12/2022
Last updated
10/07/2026
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