Provider Demographics
NPI:1124697644
Name:TOLLESON, ELIZABETH VOIGTMAN (PT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:VOIGTMAN
Last Name:TOLLESON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2090 SUNDANCE PKWY APT 6327
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-0024
Mailing Address - Country:US
Mailing Address - Phone:409-998-9023
Mailing Address - Fax:
Practice Address - Street 1:2090 SUNDANCE PKWY APT 6327
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-0024
Practice Address - Country:US
Practice Address - Phone:409-998-9023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-19
Last Update Date:2021-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1091171225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist