Individual
JEREMY THOMAS CHAPPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
164 GREENVIEW DR FL 2, STATE COLLEGE, PA 16803-2106
(814) 861-8122
Mailing address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6797
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004736
PA
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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