Provider Demographics
NPI:1689812273
Name:CONSTANTINO, TONI JEAN (MPT)
Entity Type:Individual
Prefix:MS
First Name:TONI
Middle Name:JEAN
Last Name:CONSTANTINO
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 15294
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28813-0294
Mailing Address - Country:US
Mailing Address - Phone:828-698-3489
Mailing Address - Fax:828-698-3490
Practice Address - Street 1:828 FLEMING ST
Practice Address - Street 2:STE A
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3540
Practice Address - Country:US
Practice Address - Phone:828-698-3489
Practice Address - Fax:828-698-3490
Is Sole Proprietor?:No
Enumeration Date:2009-02-04
Last Update Date:2012-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11956225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2504293Medicare PIN
NC2504293AMedicare PIN