| Ethan Eichhorst, | |
|
360 W Ruddle St, Coaldale, PA 18218-1027 | |
| (570) 643-3706 | |
| Not Available |
| Full Name | Ethan Eichhorst |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 360 W Ruddle St, Coaldale, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467098939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Eichhorst, 360 W Ruddle St, Coaldale, PA 18218-1027 Ph: () - | Ethan Eichhorst, 360 W Ruddle St, Coaldale, PA 18218-1027 Ph: (570) 643-3706 |
Diana Gomez, OTR/L; RT, (R), (CT) Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 W High St, Coaldale, PA 18218 Phone: 570-778-4890 | |
Ms. Jordan Lynn Nowacki, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 360 W Ruddle St, Coaldale, PA 18218 Phone: 570-645-8157 |