Individual
JEFFREY THOMAS NOELCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
214 SAINT JAMES AVE, GOOSE CREEK, SC 29445-2974
(843) 793-4466
Mailing address
214 SAINT JAMES AVE, GOOSE CREEK, SC 29445-2974
(843) 793-4466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7142
SC
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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