MEDICARE: DR. JOSHUA QUINN DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	3128268	TX

General Provider Information

NPI Number	:	1124779996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA QUINN DPT

Provider Business Mailing Address
First Line	:	9021 ALDWICK DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75238-3424
Country	:	US
Telephone Number	:	972-249-5783
Fax Number	:

Provider Business Practice Location Address
First Line	:	8144 WALNUT HILL LN STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4301
Country	:	US
Telephone Number	:	972-249-5783
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2022
Last Update Date	:	01/13/2022

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