Provider Demographics
NPI:1023241205
Name:EICHNER, CHERYL L (PT)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:EICHNER
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 1:4157 EL CAMINO WAY STE C
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-4032
Mailing Address - Country:US
Mailing Address - Phone:650-868-0343
Mailing Address - Fax:
Practice Address - Street 1:4157 EL CAMINO WAY STE C
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-4032
Practice Address - Country:US
Practice Address - Phone:650-868-0343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 16163225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist