Provider Demographics
NPI:1275754814
Name:KOST, JOYCE M (RPT)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:M
Last Name:KOST
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 MOUNTAIN VIEW LN
Mailing Address - Street 2:
Mailing Address - City:CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06018-2203
Mailing Address - Country:US
Mailing Address - Phone:860-824-1066
Mailing Address - Fax:
Practice Address - Street 1:8 MOUNTAIN VIEW LN
Practice Address - Street 2:
Practice Address - City:CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06018-2203
Practice Address - Country:US
Practice Address - Phone:860-824-1066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001345225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist