Provider Demographics
NPI:1639409972
Name:ADAMS, JOYCE A (MSPT)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:A
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 N HONORE AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34235-9117
Mailing Address - Country:US
Mailing Address - Phone:941-379-3100
Mailing Address - Fax:941-379-3107
Practice Address - Street 1:1959 N HONORE AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34235-9117
Practice Address - Country:US
Practice Address - Phone:941-379-3100
Practice Address - Fax:941-379-3107
Is Sole Proprietor?:No
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT20397225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist