Individual
JILL CHEGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10400 ROOSEVELT BLVD, PHILADELPHIA, PA 19116-3905
(215) 698-5629
Mailing address
2 VALOR LN, LEVITTOWN, PA 19054-1004
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE001381L
PA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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