| Doctor Name: | MEREDITH SIMONE |
| NPI Number: | 1033584768 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MOT OTR |
| License Number: | 113646 |
| Business Practice Address: | 2990 Legacy Dr Frisco, TX - 750346066 |
| Business Phone Number: | 4698885176 |
| Business Fax Number: | 4698885175 |
| Mailing Address: | 2990 Legacy Dr, FRISCO |
| State: | TX |
| Postal Code: | 750346066 |
| Phone Number: | 4698885176 |
| Fax Number: | 4698885175 |
| NPI Enumeration Date: | 12/07/2015 |
| NPI Last Update Date: | 12/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XN1300X |
| License Number: | 113646 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Neurorehabilitation |
| Taxonomy Definition: | |