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NPI Code Detail

MEDICARE: JONI JAMES REGALADO JIMENEZ

MEDICARE:   JONI JAMES REGALADO JIMENEZ
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
1225100000XPhysical Therapist1179263TX

General Provider Information

NPI Number : 1609356807
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONI JAMES REGALADO JIMENEZ
Provider Business Mailing Address
First Line : 206 STORRS ST
Second Line :
City : ROCKWALL
State : TX
Zip : 75087-4006
Country : US
Telephone Number : 972-771-5000
Fax Number :
Provider Business Practice Location Address
First Line : 206 STORRS ST
Second Line :
City : ROCKWALL
State : TX
Zip : 75087-4006
Country : US
Telephone Number : 972-771-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2018
Last Update Date : 08/16/2018

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Directions to “ JONI JAMES REGALADO JIMENEZ ” Practice Location

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