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1790067528

NPI Code Detail

MEDICARE: MS. ROBIN RACHAEL CHIAPUZZI MSPT

MEDICARE: MS. ROBIN RACHAEL CHIAPUZZI MSPT

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	J1-0002752	DE
2	225100000X	Physical Therapist	PT021854	PA

General Provider Information

NPI Number	:	1790067528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROBIN RACHAEL CHIAPUZZI MSPT

Provider Business Mailing Address
First Line	:	301 LAKE ST # 370
Second Line	:
City	:	DALLAS
State	:	PA
Zip	:	18612-7752
Country	:	US
Telephone Number	:	570-266-2920
Fax Number	:	570-793-2908

Provider Business Practice Location Address
First Line	:	301 LAKE ST # 370
Second Line	:
City	:	DALLAS
State	:	PA
Zip	:	18612-7752
Country	:	US
Telephone Number	:	570-266-2920
Fax Number	:	570-793-2908

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

Provider Enumeration Date	:	09/19/2011
Last Update Date	:	02/01/2022

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Directions to “ MS. ROBIN RACHAEL CHIAPUZZI MSPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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