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
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG0982
—
SC
Enumeration date
03/12/2022
Last updated
02/06/2026
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