Provider Demographics
NPI:1558532093
Name:SMITH, JOY DORINSKI (PT)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:DORINSKI
Last Name:SMITH
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 1:1809 MICCOSUKEE COMMONS DR STE 114
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5461
Mailing Address - Country:US
Mailing Address - Phone:850-765-0213
Mailing Address - Fax:850-807-5110
Practice Address - Street 1:1809 MICCOSUKEE COMMONS DR STE 114
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5461
Practice Address - Country:US
Practice Address - Phone:850-765-0213
Practice Address - Fax:850-807-5110
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-12
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT129132251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic