Provider Demographics
NPI:1225159965
Name:EICHHORN, GILAD ADI (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:GILAD
Middle Name:ADI
Last Name:EICHHORN
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:731 WYNNEWOOD RD
Mailing Address - Street 2:UNIT #11
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-2953
Mailing Address - Country:US
Mailing Address - Phone:610-645-7667
Mailing Address - Fax:
Practice Address - Street 1:2250 HICKORY ROAD
Practice Address - Street 2:SUITE 240
Practice Address - City:PLYMOUTH MEETNG
Practice Address - State:PA
Practice Address - Zip Code:19462-9956
Practice Address - Country:US
Practice Address - Phone:800-879-4471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013989L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist