Provider Demographics
NPI:1770528937
Name:JOYCE, CRYSTAL (PTA)
Entity type:Individual
Prefix:MS
First Name:CRYSTAL
Middle Name:
Last Name:JOYCE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16-23 EBERLIN DR
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-2431
Mailing Address - Country:US
Mailing Address - Phone:201-797-4764
Mailing Address - Fax:
Practice Address - Street 1:8 SADDLE ROAD
Practice Address - Street 2:SUNRISE HEALTH CENTER
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927-0000
Practice Address - Country:US
Practice Address - Phone:973-455-1122
Practice Address - Fax:973-455-7117
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QB00194700225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant