MEDICARE: MEREDITH MICHELE LYMER PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1207768
2	225100000X	Physical Therapist	39820	CA

General Provider Information

NPI Number	:	1235406182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEREDITH MICHELE LYMER PT

Provider Business Mailing Address
First Line	:	2624 PROSPECT HEIGHTS DR APT 14303
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76110-7428
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2624 PROSPECT HEIGHTS DR APT 14303
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76110-7428
Country	:	US
Telephone Number	:	512-585-2418
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2011
Last Update Date	:	03/17/2018

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Directions to “ MEREDITH MICHELE LYMER PT” Practice Location

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