Provider Demographics
NPI:1699238386
Name:EURY, THERESA A
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:A
Last Name:EURY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 WHISPERING PINES ROAD
Mailing Address - Street 2:BRICKYARD ROAD
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-3042
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:190 WHISPERING PINES ROAD
Practice Address - Street 2:BRICKYARD ROAD
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-3042
Practice Address - Country:US
Practice Address - Phone:724-822-3366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator