Individual
MRS. MEREDITH ROSE NOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234
(210) 539-0857
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 539-0857
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-04555
KS
225100000X
Physical Therapist
PT39146
CA
2251X0800X
Orthopedic Physical Therapist
Primary
1241409
TX
Other
Enumeration date
09/05/2012
Last updated
10/04/2019
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