Provider Demographics
NPI:1962993527
Name:L'HEUREUX, TRICIA MORGAN (MPT)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:MORGAN
Last Name:L'HEUREUX
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:ANN
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:5716 AVALON WOODS DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-2205
Mailing Address - Country:US
Mailing Address - Phone:757-880-2944
Mailing Address - Fax:
Practice Address - Street 1:1015 W 47TH ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23529-0001
Practice Address - Country:US
Practice Address - Phone:757-683-7041
Practice Address - Fax:757-683-7138
Is Sole Proprietor?:No
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305203812225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist