Healthcare Provider Details

I. General information

NPI: 1699552356
Provider Name (Legal Business Name): EUGENIA BINDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2023
Last Update Date: 09/14/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

970 PULASKI DR
KING OF PRUSSIA PA
19406-2802
US

IV. Provider business mailing address

970 PULASKI DR
KING OF PRUSSIA PA
19406-2802
US

V. Phone/Fax

Practice location:
  • Phone: 610-640-9355
  • Fax:
Mailing address:
  • Phone: 610-640-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number013350
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: