Provider Demographics
NPI:1578841102
Name:CHABAK, KAREN (MSPT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:CHABAK
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 S COURTLAND ST STE 101
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-2827
Mailing Address - Country:US
Mailing Address - Phone:570-420-0606
Mailing Address - Fax:570-420-0646
Practice Address - Street 1:641 ROUTE 739 STE 3
Practice Address - Street 2:
Practice Address - City:HAWLEY
Practice Address - State:PA
Practice Address - Zip Code:18428-6087
Practice Address - Country:US
Practice Address - Phone:570-757-5050
Practice Address - Fax:570-775-5075
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008232L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist