Provider Demographics
NPI:1376778621
Name:LANKFORD, ALLISON DAWN (PT)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:DAWN
Last Name:LANKFORD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11617 N. CENTRAL EXPRESSWAY
Mailing Address - Street 2:SUITE 140
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243
Mailing Address - Country:US
Mailing Address - Phone:214-369-4123
Mailing Address - Fax:214-369-2791
Practice Address - Street 1:11617 N. CENTRAL EXPRESSWAY
Practice Address - Street 2:SUITE 140
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243
Practice Address - Country:US
Practice Address - Phone:214-369-4123
Practice Address - Fax:214-369-2791
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT24667225100000X
TX1209750208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist