Ethan Eichhorst

NPI #1467098939 in Coaldale, Pennsylvania

Provider Information

NPI Number: 1467098939
Entity Type: Individual
Name: Ethan Eichhorst
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Nov 20, 2019
Last Updated: Nov 20, 2019

Practice Location

Address: 360 W RUDDLE ST
City: Coaldale
State: Pennsylvania
ZIP Code: 18218-1027
Phone: (570) 643-3706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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