| NPI | 1649548512 | 
|---|---|
| Former Name | JOYCE URBAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 27076)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 4886)  | 
| Enumeration Date | 2011-12-07 | 
| Last Update Date | 2019-03-11 |