Individual
BABITHA CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 N SUSSEX ST, DOVER, NJ 07801-3949
(973) 361-5200
Mailing address
6 EDGEWOOD PL, FLANDERS, NJ 07836-9313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01043900
NJ
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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