Provider Demographics
NPI:1265923254
Name:JOYCE, ELIZABETH PLUMMER (OTR/L)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:PLUMMER
Last Name:JOYCE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:592 JUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-9110
Mailing Address - Country:US
Mailing Address - Phone:814-931-9979
Mailing Address - Fax:
Practice Address - Street 1:101 ALLEGHENY ST STE 2C
Practice Address - Street 2:
Practice Address - City:HOLLIDAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16648-1874
Practice Address - Country:US
Practice Address - Phone:814-317-9984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-24
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC012717225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics