MEDICARE: MRS. DACIANA LYN WASHBURN PT

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	1182550	TX

General Provider Information

NPI Number	:	1740417781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DACIANA LYN WASHBURN PT

Provider Business Mailing Address
First Line	:	22102 BRIDGESTONE OAK DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-3152
Country	:	US
Telephone Number	:	832-928-2857
Fax Number	:	832-296-6625

Provider Business Practice Location Address
First Line	:	22102 BRIDGESTONE OAK DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-3152
Country	:	US
Telephone Number	:	832-928-2857
Fax Number	:	832-296-6625

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

Provider Enumeration Date	:	06/17/2009
Last Update Date	:	01/26/2026

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