Provider Demographics
NPI:1609271261
Name:SANTOS, JOYE ALESIA (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:JOYE
Middle Name:ALESIA
Last Name:SANTOS
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 GOSHEN HILL RD EXT
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:CT
Mailing Address - Zip Code:06249-2303
Mailing Address - Country:US
Mailing Address - Phone:860-465-6670
Mailing Address - Fax:
Practice Address - Street 1:420 SCRABBLETOWN RD
Practice Address - Street 2:SUITE A
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-3665
Practice Address - Country:US
Practice Address - Phone:401-667-0173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOT01483225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist