Provider Demographics
NPI:1124417498
Name:CHOCKLA, JANELLE RENEA (DPT)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:RENEA
Last Name:CHOCKLA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 JENNIFER CT
Mailing Address - Street 2:SUITE A
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-7791
Mailing Address - Country:US
Mailing Address - Phone:717-243-0271
Mailing Address - Fax:717-243-0531
Practice Address - Street 1:3 JENNIFER CT
Practice Address - Street 2:SUITE A
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-7791
Practice Address - Country:US
Practice Address - Phone:717-243-0271
Practice Address - Fax:717-243-0531
Is Sole Proprietor?:No
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018467225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist