Provider Demographics
NPI:1932259504
Name:MOKOS, JOCELYN MARIE (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:MARIE
Last Name:MOKOS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MS
Other - First Name:JOCELYN
Other - Middle Name:MARIE
Other - Last Name:VENTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 DOUGLAS DR
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-1730
Mailing Address - Country:US
Mailing Address - Phone:203-515-1379
Mailing Address - Fax:
Practice Address - Street 1:267 GRANT ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06610-2805
Practice Address - Country:US
Practice Address - Phone:203-384-3000
Practice Address - Fax:203-336-7368
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007763225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist