Individual
DOUGLAS STEPHEN NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4107 N HIMES AVE, SUITE 100, TAMPA, FL 33607-6655
(813) 874-1009
(813) 872-6717
Mailing address
4322 S HALE AVE, TAMPA, FL 33611-1332
(814) 934-3179
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT018742
PA
225100000X
Physical Therapist
Primary
PT29609
FL
Other
Enumeration date
07/11/2007
Last updated
12/09/2015
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