Individual
CHANELE CRISWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2220
(215) 663-6000
Mailing address
207 GIRARD AVE, GLENSIDE, PA 19038-1009
(215) 266-7757
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT024615
PA
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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