Individual
QUINTON CHESTER MEREDITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
229 SPUR DR, COPPERAS COVE, TX 76522-1052
(810) 877-9209
Mailing address
229 SPUR DR, COPPERAS COVE, TX 76522-1052
(810) 877-9209
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2100596
TX
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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