Provider Demographics
NPI:1972748143
Name:NAVARRO, CHAMALI (LPTA)
Entity type:Individual
Prefix:
First Name:CHAMALI
Middle Name:
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1480 OXFORD VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-5630
Mailing Address - Country:US
Mailing Address - Phone:215-321-3921
Mailing Address - Fax:215-321-9257
Practice Address - Street 1:6806 LARGE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-2109
Practice Address - Country:US
Practice Address - Phone:267-809-6433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE007524225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant