Provider Demographics
NPI:1932376423
Name:SOFIELD, JOANNE (ATC)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:
Last Name:SOFIELD
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:
Other - Last Name:TEMPLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:106 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:TUCKERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08087-2704
Mailing Address - Country:US
Mailing Address - Phone:609-296-9754
Mailing Address - Fax:609-296-9754
Practice Address - Street 1:565 NUGENTOWN RD
Practice Address - Street 2:
Practice Address - City:LITTLE EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08087-3909
Practice Address - Country:US
Practice Address - Phone:609-296-3106
Practice Address - Fax:609-296-6905
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MT001037002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer