Provider Demographics
NPI:1356971782
Name:FAULKNER, JOI ZOE (OTR/L)
Entity type:Individual
Prefix:
First Name:JOI
Middle Name:ZOE
Last Name:FAULKNER
Suffix:
Gender:
Credentials:OTR/L
Other - Prefix:
Other - First Name:JOI
Other - Middle Name:ZOE
Other - Last Name:WILLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:20818 SEINE AVE APT A
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90715-1495
Mailing Address - Country:US
Mailing Address - Phone:323-898-2853
Mailing Address - Fax:
Practice Address - Street 1:2322 S GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-7220
Practice Address - Country:US
Practice Address - Phone:626-285-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-24
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20820225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics