Provider Demographics
NPI:1386716298
Name:CYR, JOYIA ELIZABETH (PTA)
Entity type:Individual
Prefix:
First Name:JOYIA
Middle Name:ELIZABETH
Last Name:CYR
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 1:16 OVERLOOK DRIVE
Mailing Address - Street 2:P.O. BOX 268
Mailing Address - City:PORTAGE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-0268
Mailing Address - Country:US
Mailing Address - Phone:207-435-3775
Mailing Address - Fax:
Practice Address - Street 1:37 CARTER STREET
Practice Address - Street 2:
Practice Address - City:EAGLE LAKE
Practice Address - State:ME
Practice Address - Zip Code:04739
Practice Address - Country:US
Practice Address - Phone:207-444-5152
Practice Address - Fax:207-444-2878
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPA70000661225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant