Provider Demographics
NPI:1285882290
Name:CONSIGLIO, JOY MARIE (COTA/L, LMT)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:MARIE
Last Name:CONSIGLIO
Suffix:
Gender:F
Credentials:COTA/L, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 COACH DR
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-1511
Mailing Address - Country:US
Mailing Address - Phone:860-748-7515
Mailing Address - Fax:
Practice Address - Street 1:32 COACH DR
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-1511
Practice Address - Country:US
Practice Address - Phone:860-748-7515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000989224Z00000X
CT00735225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant