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NPI Code Detail

MEDICARE: AMY CHUCKROW PT, DPT

MEDICARE: AMY CHUCKROW PT, DPT
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
1225100000XPhysical Therapist60039687NY

General Provider Information

NPI Number : 1770957037
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY CHUCKROW PT, DPT
Provider Business Mailing Address
First Line : 2251 S FORT APACHE RD APT 2024
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-5755
Country : US
Telephone Number : 773-983-5892
Fax Number :
Provider Business Practice Location Address
First Line : 8390 W WINDMILL LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-4420
Country : US
Telephone Number : 702-831-6670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2015
Last Update Date : 01/23/2024

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