Provider Demographics
NPI:1841368123
Name:MCCLUNEY, NOEL JUNE FERNANDEZ (PT, DPT)
Entity type:Individual
Prefix:
First Name:NOEL
Middle Name:JUNE FERNANDEZ
Last Name:MCCLUNEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:NOEL
Other - Middle Name:JUNE
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1860 E HAYDEN LN
Mailing Address - Street 2:APT 104
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-7722
Mailing Address - Country:US
Mailing Address - Phone:480-967-7334
Mailing Address - Fax:
Practice Address - Street 1:2626 E UNIVERSITY DR
Practice Address - Street 2:104
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-8478
Practice Address - Country:US
Practice Address - Phone:480-649-1750
Practice Address - Fax:480-649-1638
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7419225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist