Provider Demographics
NPI:1487079786
Name:OFFIE, NOEL LESLIE (PT)
Entity type:Individual
Prefix:
First Name:NOEL
Middle Name:LESLIE
Last Name:OFFIE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 MAGNOLIA DR
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1112
Mailing Address - Country:US
Mailing Address - Phone:330-815-0061
Mailing Address - Fax:
Practice Address - Street 1:69 MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-1112
Practice Address - Country:US
Practice Address - Phone:330-815-0061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-23
Last Update Date:2014-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH013561225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist