Healthcare Provider Details

I. General information

NPI: 1376890087
Provider Name (Legal Business Name): LEAH DAWN EINHORN PT, DPT, OCS,FAAOMPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2012
Last Update Date: 08/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 INTERNATIONAL CIR
SAN JOSE CA
95119-1130
US

IV. Provider business mailing address

270 INTERNATIONAL CIR
SAN JOSE CA
95119-1130
US

V. Phone/Fax

Practice location:
  • Phone: 408-972-6400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number070017942
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberPT42248
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: