Provider Demographics
NPI:1114126752
Name:ESHLEMAN, ELLA MARGARET (PT)
Entity Type:Individual
Prefix:MS
First Name:ELLA
Middle Name:MARGARET
Last Name:ESHLEMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ELLA
Other - Middle Name:DAUBERT
Other - Last Name:ESHLEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:63 MOORENOLL ST
Mailing Address - Street 2:
Mailing Address - City:SCHUYLKILL HAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:17972-2028
Mailing Address - Country:US
Mailing Address - Phone:570-385-7697
Mailing Address - Fax:
Practice Address - Street 1:63 MOORENOLL ST
Practice Address - Street 2:
Practice Address - City:SCHUYLKILL HAVEN
Practice Address - State:PA
Practice Address - Zip Code:17972-2028
Practice Address - Country:US
Practice Address - Phone:570-385-7697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist