Individual
ANTOINETTE M EICHOLZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5740 S BAY RD, CICERO, NY 13039-8652
(315) 458-5442
(315) 458-5490
Mailing address
5740 S BAY RD, CICERO, NY 13039-8652
(315) 458-5442
(315) 458-5490
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0216381
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0216381
LICENSE
NY
Enumeration date
01/02/2007
Last updated
05/27/2010
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