Provider Demographics
NPI:1811128929
Name:JOINES, GRACE (PT)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:JOINES
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 1:2920 N STEMMONS FWY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-6103
Mailing Address - Country:US
Mailing Address - Phone:214-630-2331
Mailing Address - Fax:214-905-1323
Practice Address - Street 1:2920 N STEMMONS FWY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-6103
Practice Address - Country:US
Practice Address - Phone:214-630-2331
Practice Address - Fax:214-905-1323
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1057537225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist