Provider Demographics
NPI:1336329655
Name:PRICE, JOY LOUISE (OTR)
Entity Type:Individual
Prefix:MISS
First Name:JOY
Middle Name:LOUISE
Last Name:PRICE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1423 W SACKETT ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-4831
Mailing Address - Country:US
Mailing Address - Phone:417-877-0332
Mailing Address - Fax:417-887-0332
Practice Address - Street 1:1423 W SACKETT ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-4831
Practice Address - Country:US
Practice Address - Phone:417-877-0332
Practice Address - Fax:417-887-0332
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO370635225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist