Healthcare Provider Details

I. General information

NPI: 1902174154
Provider Name (Legal Business Name): JOSHUA PAUL HALFPAP DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2011
Last Update Date: 12/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

357051 NASNI COMMANDER NAVAL AIR FORCES FORCE HEALTH SERVICES N01H
SAN DIEGO CA
92135-7051
US

IV. Provider business mailing address

P.O. BOX 357051 NASNI COMMANDER NAVAL AIR FORCES FORCE HEALTH SERVICES N01H
SAN DIEGO CA
92135-7051
US

V. Phone/Fax

Practice location:
  • Phone: 619-545-1148
  • Fax: 619-767-7417
Mailing address:
  • Phone: 619-545-1148
  • Fax: 619-767-7417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8062915-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: