Provider Demographics
NPI:1871073395
Name:SHILOH, ERAN (PT)
Entity type:Individual
Prefix:MR
First Name:ERAN
Middle Name:
Last Name:SHILOH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2479 EATON RD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-4336
Mailing Address - Country:US
Mailing Address - Phone:440-223-9765
Mailing Address - Fax:
Practice Address - Street 1:27300 CEDAR RD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1110
Practice Address - Country:US
Practice Address - Phone:216-595-7345
Practice Address - Fax:216-595-7322
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT009726225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist