Most Relevant Information
Provider Data
| NPI Number: | 1003526476 |
| Provider Name: | PATRICK RAY EUTSEY |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/28/2022 |
| Last Updated: | 11/28/2022 |
Provider Practice Location
151 MARION AVE
MANSFIELD
OH
449032223
Practice Location Phone/Fax
| Phone: | 4197749969 |
| Fax: |
Provider Mailing Location
151 MARION AVE
MANSFIELD
OH
449032223
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |