Doctor Name: | ANSU SUSAN CHACKO |
NPI Number: | 1285994616 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 034937 |
Business Practice Address: | 176 Grand St White Plains, NY - 106014803 |
Business Phone Number: | 9143286080 |
Business Fax Number: | 9143286081 |
Mailing Address: | 174 Grand St, WHITE PLAINS |
State: | NY |
Postal Code: | 106014803 |
Phone Number: | 9143288077 |
Fax Number: | 9143286083 |
NPI Enumeration Date: | 05/18/2012 |
NPI Last Update Date: | 11/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 034937 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |