Provider Demographics
NPI:1497223796
Name:JOENS, ANALYN MAGPANTAY (MOTR/L)
Entity type:Individual
Prefix:
First Name:ANALYN
Middle Name:MAGPANTAY
Last Name:JOENS
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18484 W SUNRISE DR
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-4918
Mailing Address - Country:US
Mailing Address - Phone:240-429-1806
Mailing Address - Fax:
Practice Address - Street 1:18484 W SUNRISE DR
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-4918
Practice Address - Country:US
Practice Address - Phone:240-429-1806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH007622225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist