Provider Demographics
NPI:1487071197
Name:FERRELL, TONI C (OT)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:C
Last Name:FERRELL
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:TONI
Other - Middle Name:CORBETT
Other - Last Name:FERRELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OT
Mailing Address - Street 1:1300 N CENTRAL EXPY
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-1009
Mailing Address - Country:US
Mailing Address - Phone:972-578-2212
Mailing Address - Fax:972-423-3037
Practice Address - Street 1:1300 N CENTRAL EXPY
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-1009
Practice Address - Country:US
Practice Address - Phone:972-578-2212
Practice Address - Fax:972-423-3037
Is Sole Proprietor?:No
Enumeration Date:2014-03-20
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116078225XP0019X, 225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation