Doctor Name: | JUSTIN D EISENHOFER |
NPI Number: | 1649284977 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT, OCS, CSCS |
License Number: | 002261 |
Business Practice Address: | 5479 Pottsville Pike Suite 200 Leesport, PA - 195338650 |
Business Phone Number: | 6109266778 |
Business Fax Number: | 6109267200 |
Mailing Address: | 415 36th St, Suite 100 PARKERSBURG |
State: | WV |
Postal Code: | 261011005 |
Phone Number: | 3049173660 |
Fax Number: | 3049173674 |
NPI Enumeration Date: | 07/29/2006 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 002261 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |