Provider Demographics
NPI:1497921589
Name:MALIA, JOYCE ANN (PT)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:ANN
Last Name:MALIA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19446 BROCKTON LN
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-4009
Mailing Address - Country:US
Mailing Address - Phone:408-255-7041
Mailing Address - Fax:
Practice Address - Street 1:19446 BROCKTON LN
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-4009
Practice Address - Country:US
Practice Address - Phone:408-255-7041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT0096682251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics