Provider Demographics
NPI:1083662563
Name:SCHICKLING, JAMES JR (PT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:SCHICKLING
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 SHERMAN RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3436
Mailing Address - Country:US
Mailing Address - Phone:610-328-2312
Mailing Address - Fax:
Practice Address - Street 1:2906 ISLAND AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19153-2026
Practice Address - Country:US
Practice Address - Phone:215-365-2113
Practice Address - Fax:215-365-5516
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-006717-L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist