Provider Demographics
NPI:1932746740
Name:TOLBERT, MARTIN P (DPT, PT)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:P
Last Name:TOLBERT
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 CONCORD RD STE 303
Mailing Address - Street 2:
Mailing Address - City:ASTON
Mailing Address - State:PA
Mailing Address - Zip Code:19014-1931
Mailing Address - Country:US
Mailing Address - Phone:717-885-5887
Mailing Address - Fax:
Practice Address - Street 1:900 LAWRENCE DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-3415
Practice Address - Country:US
Practice Address - Phone:610-696-8090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-01
Last Update Date:2019-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT028206225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist