Provider Demographics
NPI:1932324977
Name:WARREN, TORIE ELIZABETH (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:TORIE
Middle Name:ELIZABETH
Last Name:WARREN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MRS
Other - First Name:TORIE
Other - Middle Name:ELIZABETH
Other - Last Name:BURNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSPT
Mailing Address - Street 1:3519 OAK TREE CIR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-9767
Mailing Address - Country:US
Mailing Address - Phone:317-882-5433
Mailing Address - Fax:
Practice Address - Street 1:2250 HICKORY RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1047
Practice Address - Country:US
Practice Address - Phone:800-879-4471
Practice Address - Fax:610-834-7525
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05008010A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist