Healthcare Provider Details

I. General information

NPI: 1821333154
Provider Name (Legal Business Name): JOYCE ANN KARKLEL PHYSICAL THERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2012
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 MAIN ST S
SOUTHBURY CT
06488-4220
US

IV. Provider business mailing address

21 HOLLEY LN
PROSPECT CT
06712-1484
US

V. Phone/Fax

Practice location:
  • Phone: 877-407-3422
  • Fax: 877-407-4329
Mailing address:
  • Phone: 203-758-6569
  • Fax: 203-758-0443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number003514
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: