Individual
MS. DANA DIANNE TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
117 CIRCLE WAY ST, LAKE JACKSON, TX 77566-5233
(979) 480-9400
(979) 480-9410
Mailing address
601 S BUCHTA RD, ANGLETON, TX 77515-4178
(979) 848-1292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1057735
TX
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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