Provider Demographics
NPI:1578729687
Name:NAVARRO, JOAN CURRIE (PT)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:CURRIE
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:JOAN
Other - Middle Name:CURRIE
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 2130
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91785-2130
Mailing Address - Country:US
Mailing Address - Phone:909-981-6473
Mailing Address - Fax:
Practice Address - Street 1:999 SAN BERNARDINO RD
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4920
Practice Address - Country:US
Practice Address - Phone:909-579-6748
Practice Address - Fax:909-920-9374
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13164225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist