Provider Demographics
NPI:1518241058
Name:DOERRMAN, TODD JEFFERY (PT)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:JEFFERY
Last Name:DOERRMAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19604-1618
Mailing Address - Country:US
Mailing Address - Phone:610-375-9082
Mailing Address - Fax:
Practice Address - Street 1:755 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-9510
Practice Address - Country:US
Practice Address - Phone:717-653-0323
Practice Address - Fax:610-653-0527
Is Sole Proprietor?:No
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0216312251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic