Provider Demographics
NPI:1194943050
Name:PANCHOLI-PAREKH, CHINTAN A (DPT)
Entity type:Individual
Prefix:
First Name:CHINTAN
Middle Name:A
Last Name:PANCHOLI-PAREKH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 NICHOLS MILL RD
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-1394
Mailing Address - Country:US
Mailing Address - Phone:973-239-9062
Mailing Address - Fax:
Practice Address - Street 1:321 N FURNACE ST STE 160
Practice Address - Street 2:
Practice Address - City:BIRDSBORO
Practice Address - State:PA
Practice Address - Zip Code:19508-2057
Practice Address - Country:US
Practice Address - Phone:610-582-2250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2023-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA009755002251P0200X
PAPT028965225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics