Provider Demographics
NPI:1134118680
Name:JOSHI, JAYASHREE PRAKASH (OTRL, CHT)
Entity Type:Individual
Prefix:
First Name:JAYASHREE
Middle Name:PRAKASH
Last Name:JOSHI
Suffix:
Gender:F
Credentials:OTRL, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 PALMER AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-5103
Mailing Address - Country:US
Mailing Address - Phone:508-540-5559
Mailing Address - Fax:508-540-5660
Practice Address - Street 1:620 PALMER AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-5103
Practice Address - Country:US
Practice Address - Phone:508-540-5559
Practice Address - Fax:508-540-5660
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1828225X00000X, 225XH1200X
NH1840225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0T0030OtherBC
0T0030OtherBC