Individual
NICHOLAS CHUPICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
276 E GROVE ST STE 2, CLARKS GREEN, PA 18411-1723
(570) 319-6903
Mailing address
1510 APPLEWOOD ACRES, SOUTH ABINGTON TOWNSHIP, PA 18411-2849
(570) 877-9865
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE012517
PA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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