Provider Demographics
NPI:1336729466
Name:MEYER, ZOE (PTA)
Entity Type:Individual
Prefix:
First Name:ZOE
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3223 SPRING CYPRESS RD APT 312
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-4883
Mailing Address - Country:US
Mailing Address - Phone:770-402-6886
Mailing Address - Fax:
Practice Address - Street 1:3223 SPRING CYPRESS RD APT 312
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-4883
Practice Address - Country:US
Practice Address - Phone:770-402-6886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Single Specialty