Provider Demographics
NPI:1114251535
Name:MCDONALD, JOCELYN R (PT)
Entity Type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:R
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:E
Other - Last Name:RESPICIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1027 S 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-5605
Mailing Address - Country:US
Mailing Address - Phone:956-330-5317
Mailing Address - Fax:
Practice Address - Street 1:3031 W ALBERTA RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3118
Practice Address - Country:US
Practice Address - Phone:956-330-5317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-01
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-8926-6225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist