Provider Demographics
NPI:1609607571
Name:PUENTE, JOYCELIN JANELLIS (PT, DPT)
Entity type:Individual
Prefix:MS
First Name:JOYCELIN
Middle Name:JANELLIS
Last Name:PUENTE
Suffix:
Gender:F
Credentials:PT, DPT
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Other - First Name:
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Mailing Address - Street 1:23456 HAWTHORNE BLVD
Mailing Address - Street 2:SUITE #200
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505
Mailing Address - Country:US
Mailing Address - Phone:310-742-8388
Mailing Address - Fax:
Practice Address - Street 1:23456 HAWTHORNE BLVD
Practice Address - Street 2:SUITE #200
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505
Practice Address - Country:US
Practice Address - Phone:310-742-8388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist