Provider Demographics
NPI:1851401640
Name:NOLAND, ELIZABETH SCHROETER (MS, ATC)
Entity Type:Individual
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First Name:ELIZABETH
Middle Name:SCHROETER
Last Name:NOLAND
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Gender:F
Credentials:MS, ATC
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Mailing Address - Street 1:6586 AMBROSIA DR
Mailing Address - Street 2:APT. 5308
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92124-3165
Mailing Address - Country:US
Mailing Address - Phone:619-849-2914
Mailing Address - Fax:619-849-3215
Practice Address - Street 1:3900 LOMALAND DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-2810
Practice Address - Country:US
Practice Address - Phone:619-849-2914
Practice Address - Fax:619-849-3215
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer