Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 40QA01503000 | NJ |
NPI | 1003241720 |
---|---|
Provider Name | Joy Jost |
First Address | Charlotte, NC 28260-1791 |
Second Address | Winston Salem, NC 27103-3916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2013 |
Last Update Date | 26/10/2020 |