Provider Demographics
NPI:1639368202
Name:EIKLOR, SARAH R (PT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:R
Last Name:EIKLOR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 DEWEY AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-6310
Mailing Address - Country:US
Mailing Address - Phone:724-222-8356
Mailing Address - Fax:
Practice Address - Street 1:998 MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:BENTLEYVILLE
Practice Address - State:PA
Practice Address - Zip Code:15314-1100
Practice Address - Country:US
Practice Address - Phone:724-239-5777
Practice Address - Fax:724-239-3036
Is Sole Proprietor?:No
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-007517225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist