Provider Demographics
NPI:1134532153
Name:MACHALA, JOYCE CATHERINE (MED,OTR)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:CATHERINE
Last Name:MACHALA
Suffix:
Gender:F
Credentials:MED,OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1191 S CORONA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-1703
Mailing Address - Country:US
Mailing Address - Phone:303-698-2497
Mailing Address - Fax:
Practice Address - Street 1:1191 S CORONA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-1703
Practice Address - Country:US
Practice Address - Phone:303-698-2497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0000787225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist