Provider Demographics
NPI:1649251182
Name:DUNCKLEY, ROSALIA W (PT)
Entity type:Individual
Prefix:
First Name:ROSALIA
Middle Name:W
Last Name:DUNCKLEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ROSALIA
Other - Middle Name:W
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1357 ELBOW LN
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-1604
Mailing Address - Country:US
Mailing Address - Phone:610-761-0227
Mailing Address - Fax:
Practice Address - Street 1:1357 ELBOW LN
Practice Address - Street 2:
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425-1604
Practice Address - Country:US
Practice Address - Phone:610-761-0227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT001175E2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001924098-0004Medicaid