Provider Demographics
NPI:1437706827
Name:TOTH, THERESE M (PTA)
Entity Type:Individual
Prefix:
First Name:THERESE
Middle Name:M
Last Name:TOTH
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6440 MILLFAIR RD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:PA
Mailing Address - Zip Code:16415-2713
Mailing Address - Country:US
Mailing Address - Phone:814-450-0301
Mailing Address - Fax:
Practice Address - Street 1:2558 W 8TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-4432
Practice Address - Country:US
Practice Address - Phone:814-450-0301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-21
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant