Provider Demographics
NPI:1558915397
Name:ACORD, JOYCE (PT)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:ACORD
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 1:2230 VILLAGE MALL DR STE 600
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:OH
Mailing Address - Zip Code:44906-4025
Mailing Address - Country:US
Mailing Address - Phone:419-524-4700
Mailing Address - Fax:
Practice Address - Street 1:2230 VILLAGE MALL DR STE 600
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OH
Practice Address - Zip Code:44906-4025
Practice Address - Country:US
Practice Address - Phone:419-524-4700
Practice Address - Fax:419-524-4701
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
OHPT002791225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist