| Doctor Name: | LISA CHACKO |
| NPI Number: | 1588677918 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPT |
| License Number: | PT0176278 |
| Business Practice Address: | 2966 Street Rd Bensalem, PA - 190202604 |
| Business Phone Number: | 2156392639 |
| Business Fax Number: | 2159292464 |
| Mailing Address: | 2 W 10th St, MARCUS HOOK |
| State: | PA |
| Postal Code: | 190614513 |
| Phone Number: | 6108598850 |
| Fax Number: | 6108597876 |
| NPI Enumeration Date: | 08/15/2006 |
| NPI Last Update Date: | 02/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT0176278 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |