Healthcare Provider Details

I. General information

NPI: 1962958652
Provider Name (Legal Business Name): DAVID EILBACHER PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20-30 WEST BALTIMORE AVE
LANSDOWNE PA
19050
US

IV. Provider business mailing address

3 POWELSON DR
HILLSBOROUGH NJ
08844-2235
US

V. Phone/Fax

Practice location:
  • Phone: 610-626-0080
  • Fax: 610-626-0084
Mailing address:
  • Phone: 908-285-4138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT026851
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: