Provider Demographics
NPI:1245259936
Name:TRUE, JOY SUMALJAG (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:SUMALJAG
Last Name:TRUE
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2182 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4539
Mailing Address - Country:US
Mailing Address - Phone:925-373-4700
Mailing Address - Fax:925-449-6415
Practice Address - Street 1:2182 7TH ST
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4539
Practice Address - Country:US
Practice Address - Phone:925-373-4700
Practice Address - Fax:925-449-6415
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MORO955282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital