Provider Demographics
NPI:1265892459
Name:DURRWACHTER, ERIC MICHAEL (DPT)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:MICHAEL
Last Name:DURRWACHTER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:5320 STATE ROUTE 973 E
Mailing Address - Street 2:
Mailing Address - City:COGAN STATION
Mailing Address - State:PA
Mailing Address - Zip Code:17728-8208
Mailing Address - Country:US
Mailing Address - Phone:570-220-4760
Mailing Address - Fax:570-601-0133
Practice Address - Street 1:2605 REACH ROAD
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-4392
Practice Address - Country:US
Practice Address - Phone:570-322-2251
Practice Address - Fax:570-601-0133
Is Sole Proprietor?:No
Enumeration Date:2016-03-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist