Provider Demographics
NPI:1780923706
Name:JOYNER, DIKAH (DPT)
Entity type:Individual
Prefix:
First Name:DIKAH
Middle Name:
Last Name:JOYNER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5455 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-1466
Mailing Address - Country:US
Mailing Address - Phone:219-902-2290
Mailing Address - Fax:
Practice Address - Street 1:5455 HARRISON ST
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-1466
Practice Address - Country:US
Practice Address - Phone:219-902-2290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-12
Last Update Date:2015-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035364-1225100000X
OR60743225100000X
CA42461225100000X
TX1257210225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist