MEDICARE: MATTHEW TOKER PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT.009296

General Provider Information

NPI Number	:	1538503883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW TOKER PT

Provider Business Mailing Address
First Line	:	3378 W MARKET ST
Second Line	:
City	:	FAIRLAWN
State	:	OH
Zip	:	44333-3306
Country	:	US
Telephone Number	:	330-576-3500
Fax Number	:	330-576-3900

Provider Business Practice Location Address
First Line	:	3378 W MARKET ST
Second Line	:
City	:	FAIRLAWN
State	:	OH
Zip	:	44333-3306
Country	:	US
Telephone Number	:	330-576-3500
Fax Number	:	330-576-3900

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2013
Last Update Date	:	04/17/2013

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