Individual
MR. DAVID JOSEPH TOENNIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1234 WILLOW CRK, BREESE, IL 62230-1092
(618) 526-7199
Mailing address
1234 WILLOW CRK, BREESE, IL 62230-1092
(618) 526-7199
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001406923
BLUECROSSBLUESHEILD#
IL
Enumeration date
01/23/2007
Last updated
07/08/2007
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