Individual
CHARLES CHIRACKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
760 BLOOMFIELD AVE, WEST CALDWELL, NJ 07006-6710
(973) 954-9190
(973) 771-5338
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 265-4606
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02206900
NJ
225100000X
Physical Therapist
Primary
PT43857
FL
Other
Enumeration date
08/31/2023
Last updated
02/03/2026
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