Individual
AUSTIN EICHELBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1111 TRINITY LN, BLOOMINGTON, IL 61704-8111
(309) 663-6461
Mailing address
611 W. PARK ST., FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023245
IL
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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