MEDICARE: MISS JOICE JOSEPH M.A,, M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	TOC101607	PA

General Provider Information

NPI Number	:	1336391895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JOICE JOSEPH M.A,, M.S.

Provider Business Mailing Address
First Line	:	1358 W WYOMISSING BLVD APT J
Second Line	:
City	:	WEST LAWN
State	:	PA
Zip	:	19609-2353
Country	:	US
Telephone Number	:	610-777-6464
Fax Number	:

Provider Business Practice Location Address
First Line	:	1358 W WYOMISSING BLVD APT J
Second Line	:
City	:	WEST LAWN
State	:	PA
Zip	:	19609-2353
Country	:	US
Telephone Number	:	610-777-6464
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2008
Last Update Date	:	10/15/2008

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