Provider Demographics
NPI:1336391895
Name:JOSEPH, JOICE (MA,, MS)
Entity Type:Individual
Prefix:MISS
First Name:JOICE
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MA,, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1358 W WYOMISSING BLVD APT J
Mailing Address - Street 2:
Mailing Address - City:WEST LAWN
Mailing Address - State:PA
Mailing Address - Zip Code:19609-2353
Mailing Address - Country:US
Mailing Address - Phone:610-777-6464
Mailing Address - Fax:
Practice Address - Street 1:1358 W WYOMISSING BLVD APT J
Practice Address - Street 2:
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-2353
Practice Address - Country:US
Practice Address - Phone:610-777-6464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATOC101607225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist