Provider Demographics
NPI:1538442306
Name:RAND, JOYCE HALL (PTA)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:HALL
Last Name:RAND
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3310 CHRYSANTHEMUM WAY
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-7866
Mailing Address - Country:US
Mailing Address - Phone:919-302-9081
Mailing Address - Fax:
Practice Address - Street 1:1110 FALLS RIVER AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-7800
Practice Address - Country:US
Practice Address - Phone:919-302-9081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC225200000X225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant