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Individual

DIANE M JOSEPHAKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
14160 DALLAS PKWY STE 415, DALLAS, TX 75254-4356
(972) 385-0006
Mailing address
7526 COLGATE AVE, DALLAS, TX 75225-4509
(505) 310-3306

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT2203
NM
2251P0200X
Pediatric Physical Therapist
Primary
1303490
TX

Other

Enumeration date
01/26/2019
Last updated
01/26/2019
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