NPI 1003163973

Joan Mildred Riddle, PT

Practitioner Physical Therapist Dallas, TX

Practice location

Address: 11880 Greenville Ave STE 100, Dallas, TX 75243-0587
Phone: (214) 349-6178
Fax: (214) 575-9898
Mailing address: 11880 Greenville Ave STE 100, Dallas, TX 75243

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1005205 (TX)

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Registry record

NPI: 1003163973
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2012
Record last updated: 10 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.