Individual
KRISTIN MARY NOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4905 CHEYENNE ST SE, CANTON, OH 44707-1113
(330) 284-2296
Mailing address
4905 CHEYENNE ST SE, CANTON, OH 44707-1113
(330) 284-2296
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT-011595
OH
225100000X
Physical Therapist
Primary
PT-011595
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT - 011595
PT LICENSE
OH
Enumeration date
06/06/2007
Last updated
10/24/2024
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