Individual
JULIE CHACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
840 ROSCOMMON RD, BRYN MAWR, PA 19010-1845
(610) 527-7715
Mailing address
37 SAWGRASS LN, NEWTOWN SQUARE, PA 19073-3029
(610) 331-2967
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT017403
PA
Other
Enumeration date
06/23/2007
Last updated
07/08/2007
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