Individual
MISS SHANA NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
315 NE 16TH TER, CAPE CORAL, FL 33909-5283
(239) 745-0636
Mailing address
315 NE 16TH TER, CAPE CORAL, FL 33909-5283
(239) 745-0636
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTA11666
FL
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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