Provider Demographics
NPI:1831656255
Name:CHIAPPA, JEANNINE (PT)
Entity Type:Individual
Prefix:
First Name:JEANNINE
Middle Name:
Last Name:CHIAPPA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 BALDWIN CIR
Mailing Address - Street 2:
Mailing Address - City:GLENMOORE
Mailing Address - State:PA
Mailing Address - Zip Code:19343-1136
Mailing Address - Country:US
Mailing Address - Phone:732-610-2796
Mailing Address - Fax:484-698-7984
Practice Address - Street 1:28 BALDWIN CIR
Practice Address - Street 2:
Practice Address - City:GLENMOORE
Practice Address - State:PA
Practice Address - Zip Code:19343-1136
Practice Address - Country:US
Practice Address - Phone:732-610-2796
Practice Address - Fax:484-698-7984
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008421L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist