MEDICARE: JOYCE KWOK PT

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	171100000X	Acupuncturist	AC 9053	CA
2	225100000X	Physical Therapist	22905	CA

General Provider Information

NPI Number	:	1831244243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE KWOK PT

Provider Business Mailing Address
First Line	:	1442A WALNUT ST
Second Line	:	#310
City	:	BERKELEY
State	:	CA
Zip	:	94709-1405
Country	:	US
Telephone Number	:	510-282-3695
Fax Number	:

Provider Business Practice Location Address
First Line	:	1533 SHATTUCK AVE
Second Line	:	2ND FLR.
City	:	BERKELEY
State	:	CA
Zip	:	94709-1516
Country	:	US
Telephone Number	:	510-282-3695
Fax Number	:

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

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	01/31/2017

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Directions to “ JOYCE KWOK PT” Practice Location

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