Provider Demographics
NPI:1629721188
Name:ORR, NOELLE ELISABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:NOELLE
Middle Name:ELISABETH
Last Name:ORR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 DRUID ISLE RD
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4224
Mailing Address - Country:US
Mailing Address - Phone:407-951-4386
Mailing Address - Fax:
Practice Address - Street 1:955 W STATE ROAD 436 STE 1010
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2917
Practice Address - Country:US
Practice Address - Phone:407-403-5567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13926111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor