Provider Demographics
NPI:1639393994
Name:JOSEPH, DINCY GIGI
Entity Type:Individual
Prefix:MRS
First Name:DINCY
Middle Name:GIGI
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1044 ROYALCREST DR
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3244
Mailing Address - Country:US
Mailing Address - Phone:810-732-2252
Mailing Address - Fax:
Practice Address - Street 1:G 5084 W PIERSON RD
Practice Address - Street 2:SUITE-B
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48504
Practice Address - Country:US
Practice Address - Phone:810-732-2252
Practice Address - Fax:810-732-4303
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501013028225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist