Provider Demographics
NPI:1831244243
Name:KWOK, JOYCE (PT)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:KWOK
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:
Other - Last Name:KWOK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:1442A WALNUT ST
Mailing Address - Street 2:#310
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94709-1405
Mailing Address - Country:US
Mailing Address - Phone:510-282-3695
Mailing Address - Fax:
Practice Address - Street 1:1533 SHATTUCK AVE
Practice Address - Street 2:2ND FLR.
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94709-1516
Practice Address - Country:US
Practice Address - Phone:510-282-3695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 9053171100000X
CA22905225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No171100000XOther Service ProvidersAcupuncturist