Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 17945 | MA |
N | 2251H1300X | Human Factors | IL | |
N | 225XH1300X | Human Factors | IL |
NPI | 1245419357 |
---|---|
Provider Name | Lincy J Joseph |
First Address | Cambridge, MA 02139-4277 |
Second Address | Cambridge, MA 02139-4277 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2007 |
Last Update Date | 25/10/2007 |