Individual
MR. THOMAS J CHICHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
401 PENN AVE, SCRANTON, PA 18503-1213
(570) 961-4300
Mailing address
26 CIRCLE DR, EYNON, PA 18403-1424
(570) 430-7811
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004867
PA
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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