Individual
JACQUELINE POCA NOERENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3581 W LAKESHORE DR, CROWN POINT, IN 46307-8933
(219) 662-1950
(219) 226-9101
Mailing address
3581 W LAKESHORE DR, CROWN POINT, IN 46307-8933
(219) 662-1950
(219) 226-9101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003327A
IN
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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