MS. Joyce Jack, PTA

NPI #1134580624 in Howard Beach, New York

Provider Information

NPI Number: 1134580624
Entity Type: Individual
Name: MS. Joyce Jack, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 11, 2016
Last Updated: Mar 11, 2016

Practice Location

Address: 7809 153RD AVE
Address 2: 1D-1
City: Howard Beach
State: New York
ZIP Code: 11414-1771
Phone: (718) 249-3744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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