Individual
DIANNA LYNN DULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
7722 SWEETGUM DR, IRVING, TX 75063-3462
(469) 569-5568
Mailing address
7722 SWEETGUM DR, IRVING, TX 75063-3462
(469) 569-5568
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2029767
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2029767
LICENSE NUMBER
TX
Enumeration date
09/27/2012
Last updated
09/27/2012
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