Healthcare Provider Details

I. General information

NPI: 1306900220
Provider Name (Legal Business Name): JILL CHRISTINE THONEN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8041 WALNUT HILL LN STE 810
DALLAS TX
75231-4332
US

IV. Provider business mailing address

2501 MONTCLAIR LN
MESQUITE TX
75150-1217
US

V. Phone/Fax

Practice location:
  • Phone: 214-368-1994
  • Fax: 214-368-1922
Mailing address:
  • Phone: 972-279-3568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: