Provider Demographics
NPI:1871037531
Name:TOWNSEND, PALMER ANDY (DPT)
Entity Type:Individual
Prefix:
First Name:PALMER
Middle Name:ANDY
Last Name:TOWNSEND
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 1:87 TRAFALGAR CT
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-3585
Mailing Address - Country:US
Mailing Address - Phone:973-270-4917
Mailing Address - Fax:
Practice Address - Street 1:12 LAWRENCE RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2821
Practice Address - Country:US
Practice Address - Phone:973-948-7595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-14
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01708700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist