Tyler Theroux
Tyler Theroux is a Case Manager/Care Coordinator in Shaker Heights, Ohio. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
22001 Fairmount BlvdShaker Heights, OH 44118-4819
Phone: (216) 320-6822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1487279840 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 11, 2020 |
| Last updated in NPPES | June 11, 2020 |
| Certification date | June 11, 2020 |
| Mailing address | 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 |
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