| Doctor Name: | MR. ELI GLICK |
| NPI Number: | 1447210497 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT-005296L |
| Business Practice Address: | 7 Whitefield Dr Lafayette Hill, PA - 194441648 |
| Business Phone Number: | 2156814047 |
| Business Fax Number: | 2152331172 |
| Mailing Address: | 7 Whitefield Dr, LAFAYETTE HILL |
| State: | PA |
| Postal Code: | 194441648 |
| Phone Number: | 2156814047 |
| Fax Number: | 2152331172 |
| NPI Enumeration Date: | 03/24/2006 |
| NPI Last Update Date: | 02/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | PT-005296L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |