Provider Demographics
NPI:1912254095
Name:JOYNER, CONSTANCE LEIGH (OCCUPATIONAL THERAPI)
Entity Type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:LEIGH
Last Name:JOYNER
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 LAKESHORE TERRACE
Mailing Address - Street 2:UNIT #1
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38571
Mailing Address - Country:US
Mailing Address - Phone:931-337-5235
Mailing Address - Fax:
Practice Address - Street 1:29 LAKESHORE TERRACE
Practice Address - Street 2:UNIT #1
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38571
Practice Address - Country:US
Practice Address - Phone:931-337-5235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOT0000003530225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist