Provider Demographics
NPI:1538296389
Name:JOYCE, JORDYE ELIZABETH (OTRL)
Entity Type:Individual
Prefix:
First Name:JORDYE
Middle Name:ELIZABETH
Last Name:JOYCE
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 ADELAIDE AVE SW
Mailing Address - Street 2:
Mailing Address - City:HARTVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44632-8905
Mailing Address - Country:US
Mailing Address - Phone:330-715-6046
Mailing Address - Fax:
Practice Address - Street 1:1533 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-1711
Practice Address - Country:US
Practice Address - Phone:330-688-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-4199225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist