Provider Demographics
NPI:1902921133
Name:LOPORTO, JOYCE STEPHANIE (LPTA)
Entity Type:Individual
Prefix:MISS
First Name:JOYCE
Middle Name:STEPHANIE
Last Name:LOPORTO
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 INDIAN TRL
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02632-2406
Mailing Address - Country:US
Mailing Address - Phone:508-775-6130
Mailing Address - Fax:
Practice Address - Street 1:39 INDIAN TRL
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02632-2406
Practice Address - Country:US
Practice Address - Phone:508-775-6130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2874225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant