| Doctor Name: | MRS. NANCY JEANNE TOLK |
| NPI Number: | 1033284039 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BOC CERTIFIED |
| License Number: | |
| Business Practice Address: | 1013 Valley View Road Fortuna, CA - 955402229 |
| Business Phone Number: | 7077256116 |
| Business Fax Number: | 7077256116 |
| Mailing Address: | Po Box 725, 1013 Valley View Road FORTUNA |
| State: | CA |
| Postal Code: | 955402229 |
| Phone Number: | 7077256116 |
| Fax Number: | 7077256116 |
| NPI Enumeration Date: | 11/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225000000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Orthotic Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |