Provider Demographics
NPI:1982744223
Name:NOYES, JOSHUA DAVID (PT)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:DAVID
Last Name:NOYES
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 COLDBROOK RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06073-2709
Mailing Address - Country:US
Mailing Address - Phone:860-633-5715
Mailing Address - Fax:
Practice Address - Street 1:33 CAPITAL DR
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-5818
Practice Address - Country:US
Practice Address - Phone:203-284-7893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006729225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist