Provider Demographics
NPI:1669451324
Name:DOWNING, DONALD L (DPT)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:L
Last Name:DOWNING
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2581 NORTH RD NE
Mailing Address - Street 2:SUITE A
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-3052
Mailing Address - Country:US
Mailing Address - Phone:330-372-5800
Mailing Address - Fax:330-372-5841
Practice Address - Street 1:2581 NORTH RD NE
Practice Address - Street 2:SUITE A
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-3052
Practice Address - Country:US
Practice Address - Phone:330-372-5800
Practice Address - Fax:330-372-5641
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH010871225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DO4093911Medicare PIN