Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251X0800X | Physical Therapist - Orthopedic | 20798 | MD |
Y | 225200000X | Physical Therapy Assistant | PTH10279 | AL |
NPI | 1073511440 |
---|---|
Provider Name | Yvonne Townsley |
First Address | Indianapolis, IN 46268-3103 |
Second Address | Auburn, AL 36830-1826 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2005 |
Last Update Date | 22/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2131808 | MAMSI PROVIDER NUMBER (01) | MD |
2432562 | UNITED HEALTHCARE (01) | MD |
620372-03 | CAREFIRST OF MARYLAND (01) | MD |