Provider Demographics
NPI:1376080366
Name:FINSTERWALD, TONI
Entity Type:Individual
Prefix:MRS
First Name:TONI
Middle Name:
Last Name:FINSTERWALD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 W LEUDA ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3115
Mailing Address - Country:US
Mailing Address - Phone:817-927-5111
Mailing Address - Fax:
Practice Address - Street 1:709 W LEUDA ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3115
Practice Address - Country:US
Practice Address - Phone:817-927-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-27
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist