Individual
NICHOLAS DAVID CHUPKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
146 PARK AVE, ARLINGTON, MA 02476-5829
(781) 648-9530
Mailing address
225 SOUTH ST, DOUGLAS, MA 01516-2539
(508) 887-6550
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9493
MA
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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