Healthcare Provider Details

I. General information

NPI: 1154833564
Provider Name (Legal Business Name): JOYCE BETH YOFFA OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOYCE BETH YOFFA OT

II. Dates (important events)

Enumeration Date: 10/26/2017
Last Update Date: 10/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 SANDRA RD
EASTHAMPTON MA
01027-2514
US

IV. Provider business mailing address

14 SANDRA RD
EASTHAMPTON MA
01027-2514
US

V. Phone/Fax

Practice location:
  • Phone: 413-527-5038
  • Fax:
Mailing address:
  • Phone: 413-527-5038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number1249
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: