Provider Demographics
NPI:1255699039
Name:RAJCHEL, DANA MARIE (PT, DPT, ATC)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:MARIE
Last Name:RAJCHEL
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 EASTON RD
Mailing Address - Street 2:105 CHATEAU
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-2027
Mailing Address - Country:US
Mailing Address - Phone:215-659-7759
Mailing Address - Fax:215-659-6658
Practice Address - Street 1:3443 HUNTINGDON PIKE # 2
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-3737
Practice Address - Country:US
Practice Address - Phone:215-947-3443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-30
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021898225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA238867RB2Medicare PIN