Provider Demographics
NPI:1821405929
Name:YUHAS, RITA (PTA)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:YUHAS
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 1:131 MCALPINE STREET
Mailing Address - Street 2:
Mailing Address - City:DURYEA
Mailing Address - State:PA
Mailing Address - Zip Code:18642
Mailing Address - Country:US
Mailing Address - Phone:570-457-1855
Mailing Address - Fax:
Practice Address - Street 1:131 MCALPINE STREET
Practice Address - Street 2:
Practice Address - City:DURYEA
Practice Address - State:PA
Practice Address - Zip Code:18642
Practice Address - Country:US
Practice Address - Phone:570-457-1855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATEI001680314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility