Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 1828 | MA |
Y | 225XH1200X | Occupational Therapist - Hand | 1828 | MA |
N | 225XH1200X | Occupational Therapist - Hand | 1840 | NH |
NPI | 1134118680 |
---|---|
Provider Name | Jayashree Prakash Joshi |
First Address | Falmouth, MA 02540-5103 |
Second Address | Falmouth, MA 02540-5103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2005 |
Last Update Date | 20/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0T0030 | BC (01) |