Provider Demographics
NPI:1396203030
Name:JOYCE, LAURA MARTIN (DPT)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:MARTIN
Last Name:JOYCE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:LAURA
Other - Middle Name:DIANNE
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1460 BABCOCK DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-2632
Mailing Address - Country:US
Mailing Address - Phone:336-767-8130
Mailing Address - Fax:
Practice Address - Street 1:1460 BABCOCK DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-2632
Practice Address - Country:US
Practice Address - Phone:336-767-8130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18556225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist