Healthcare Provider Details

I. General information

NPI: 1114152519
Provider Name (Legal Business Name): JOY ANNE HUGUET MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2009
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3230 FAIRESTA ST APT 4
LA CRESCENTA CA
91214-2610
US

IV. Provider business mailing address

3230 FAIRESTA ST APT 4
LA CRESCENTA CA
91214-2610
US

V. Phone/Fax

Practice location:
  • Phone: 818-209-5092
  • Fax:
Mailing address:
  • Phone: 818-209-5092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT25971
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: