Individual
DILLON FEDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8840 CYPRESS WATERS BLVD, STE300, COPPELL, TX 75019-4594
(866) 217-8011
Mailing address
8840 CYPRESS WATERS BLVD, STE300, COPPELL, TX 75019-4594
(866) 217-8011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040504
NY
225100000X
Physical Therapist
Primary
070022752
IL
Other
Enumeration date
09/08/2016
Last updated
12/20/2016
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