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Individual

CHAD W EICKHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.A

Contact information

Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
6279 AMBER LN, GRAND BLANC, MI 48439-7816
(810) 730-5748

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002140
MI

Other

Enumeration date
08/23/2012
Last updated
08/23/2012
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