Healthcare Provider Details

I. General information

NPI: 1639368202
Provider Name (Legal Business Name): SARAH R EIKLOR PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2007
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

998 MAIN ST STE B
BENTLEYVILLE PA
15314-1100
US

IV. Provider business mailing address

219 DEWEY AVE
WASHINGTON PA
15301-6310
US

V. Phone/Fax

Practice location:
  • Phone: 724-239-5777
  • Fax: 724-239-3036
Mailing address:
  • Phone: 724-222-8356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-007517
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: