Healthcare Provider Details
I. General information
NPI: 1902239536
Provider Name (Legal Business Name): ALLISON TOFFLE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/19/2013
Last Update Date: 10/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3109 UNIVERSITY AVE SUITE C
MORGANTOWN WV
26505-3205
US
IV. Provider business mailing address
625 LINCOLN AVE SUITE 209
CHARLEROI PA
15022-2451
US
V. Phone/Fax
- Phone: 304-241-4020
- Fax: 304-241-4029
- Phone: 724-483-4886
- Fax: 724-489-4758
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PT003210 |
| License Number State | WV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: