MEDICARE: ROSALIA W DUNCKLEY PT

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	2251P0200X	Pediatric Physical Therapist	PT001175E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649251182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSALIA W DUNCKLEY PT

Provider Business Mailing Address
First Line	:	1357 ELBOW LN
Second Line	:
City	:	CHESTER SPRINGS
State	:	PA
Zip	:	19425-1604
Country	:	US
Telephone Number	:	610-761-0227
Fax Number	:

Provider Business Practice Location Address
First Line	:	1357 ELBOW LN
Second Line	:
City	:	CHESTER SPRINGS
State	:	PA
Zip	:	19425-1604
Country	:	US
Telephone Number	:	610-761-0227
Fax Number	:

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

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	02/02/2012

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Directions to “ ROSALIA W DUNCKLEY PT” Practice Location

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