Provider Demographics
NPI:1417175704
Name:MADY, JOYCE H (PT)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:H
Last Name:MADY
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:4801 DORSEY HALL DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7766
Mailing Address - Country:US
Mailing Address - Phone:410-730-9851
Mailing Address - Fax:410-730-9855
Practice Address - Street 1:4801 DORSEY HALL DR
Practice Address - Street 2:SUITE 130
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-7766
Practice Address - Country:US
Practice Address - Phone:410-730-9851
Practice Address - Fax:410-730-9855
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2008-12-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD162982251X0800X, 2251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports