Individual
THERESA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
620 HOWARD AVE, UPMC ALTOONA, ALTOONA, PA 16601-4804
(814) 889-7689
(814) 889-7670
Mailing address
4300 LYNDALE RD, ALTOONA, PA 16602-1539
(814) 946-3953
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN000226
PA
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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