Healthcare Provider Details

I. General information

NPI: 1164339180
Provider Name (Legal Business Name): NATALIE DICUREIA DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 NETHERBY LN STE 300
NORTH CHARLESTON SC
29420-7363
US

IV. Provider business mailing address

5401 NETHERBY LN STE 300
NORTH CHARLESTON SC
29420-7363
US

V. Phone/Fax

Practice location:
  • Phone: 843-225-5211
  • Fax:
Mailing address:
  • Phone: 843-225-5211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number13552
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: