Provider Demographics
NPI:1548278880
Name:TOLEMAN, DAVID TOWNSEND (RPT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:TOWNSEND
Last Name:TOLEMAN
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3511 CEMETERY CIR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21758-9642
Mailing Address - Country:US
Mailing Address - Phone:301-834-8859
Mailing Address - Fax:
Practice Address - Street 1:43 PANAMA STREET
Practice Address - Street 2:
Practice Address - City:HARPERS FERRY
Practice Address - State:WV
Practice Address - Zip Code:25425
Practice Address - Country:US
Practice Address - Phone:304-535-2400
Practice Address - Fax:304-535-2424
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2293225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVTO4153501Medicare PIN