MEDICARE: DEBORAH CHELEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT015683	PA

General Provider Information

NPI Number	:	1457489270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH CHELEN

Provider Business Mailing Address
First Line	:	326 BASH RD
Second Line	:
City	:	NEW ALEXANDRIA
State	:	PA
Zip	:	15670-2609
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	326 BASH RD
Second Line	:
City	:	NEW ALEXANDRIA
State	:	PA
Zip	:	15670-2609
Country	:	US
Telephone Number	:	724-396-1325
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	03/30/2009

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Directions to “ DEBORAH CHELEN ” Practice Location

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