Provider Demographics
NPI:1154147072
Name:CEDENO, NOELLE DOMINGUEZ (PT, DPT)
Entity type:Individual
Prefix:
First Name:NOELLE
Middle Name:DOMINGUEZ
Last Name:CEDENO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11307 STONECREEK BEND LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2847
Mailing Address - Country:US
Mailing Address - Phone:717-571-8866
Mailing Address - Fax:
Practice Address - Street 1:1160 VARNUM ST NE STE 315
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2103
Practice Address - Country:US
Practice Address - Phone:717-571-8666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist