Provider Demographics
NPI:1558687327
Name:WESLEY, JOYCE ANN
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:ANN
Last Name:WESLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 21ST AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-6801
Mailing Address - Country:US
Mailing Address - Phone:205-322-4500
Mailing Address - Fax:205-323-0085
Practice Address - Street 1:2105 JOYCE ST
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-6813
Practice Address - Country:US
Practice Address - Phone:205-322-4500
Practice Address - Fax:205-323-0085
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0269225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist