Provider Demographics
NPI:1538329941
Name:CANFIELD, JOSHUA J (DPT)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:J
Last Name:CANFIELD
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 TANGLESWORTH RD
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-7905
Mailing Address - Country:US
Mailing Address - Phone:803-665-2085
Mailing Address - Fax:
Practice Address - Street 1:112 TANGLESWORTH RD
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-7905
Practice Address - Country:US
Practice Address - Phone:803-665-2085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC54932251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics