Organization
SHAUNA NOELCKE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA NOELCKE DPT (PHYSICAL THERAPIST)
(937) 430-2436
Entity
Organization
Contact information
Practice address
45 SYCAMORE AVE APT 1112, CHARLESTON, SC 29407-6732
(937) 430-2436
Mailing address
45 SYCAMORE AVE APT 1112, CHARLESTON, SC 29407-6732
(937) 430-2436
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7144
SC
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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