Individual
ETHAN EICHHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 W RUDDLE ST, COALDALE, PA 18218-1027
(570) 643-3706
Mailing address
360 W RUDDLE ST, COALDALE, PA 18218-1027
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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