Doctor Name: | MR. DAVID JOSEPH TOENNIES |
NPI Number: | 1649325598 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1234 Willow Crk Breese, IL - 622301092 |
Business Phone Number: | 6185267199 |
Business Fax Number: | |
Mailing Address: | 1234 Willow Crk, BREESE |
State: | IL |
Postal Code: | 622301092 |
Phone Number: | 6185267199 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |