Healthcare Provider Details

I. General information

NPI: 1447600028
Provider Name (Legal Business Name): NATALIE RENEE TOMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2016
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 EISENHOWER BLVD STE 3
JOHNSTOWN PA
15904-3527
US

IV. Provider business mailing address

706 EISENHOWER BLVD STE 3
JOHNSTOWN PA
15904-3527
US

V. Phone/Fax

Practice location:
  • Phone: 814-266-8833
  • Fax:
Mailing address:
  • Phone: 814-266-8833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT025200
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT025200
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: