Provider Demographics
NPI:1790067528
Name:CHIAPUZZI, ROBIN RACHAEL (MSPT)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:RACHAEL
Last Name:CHIAPUZZI
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 1:301 LAKE ST # 370
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:PA
Mailing Address - Zip Code:18612-7752
Mailing Address - Country:US
Mailing Address - Phone:570-266-2920
Mailing Address - Fax:570-793-2908
Practice Address - Street 1:301 LAKE ST # 370
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:PA
Practice Address - Zip Code:18612-7752
Practice Address - Country:US
Practice Address - Phone:570-266-2920
Practice Address - Fax:570-793-2908
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0002752225100000X
PAPT021854225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist