Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY JINCY CHACKONAL, MSPT
Active Sole ProprietorMRS. MARY JINCY CHACKONAL, MSPT is a Physical Therapy Assistant healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1124366349 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LAWRENCEVILLE, GA
Registration Details
- NPI Number
- 1124366349
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2013 (13.514473571028 yrs)
- Last Updated
- Jan 23, 2013
- License
-
PT008253 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3100 CLUB DRLAWRENCEVILLE, GA, 300442591Browse GA providers · Browse ZIP 30044
- Phone
- 7709233100
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LAWRENCEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. CAROLE L CUNNINGHAM | PT | 1881635373 |
| ERIC STEVEN ERHARDT | PT | 1730117185 |
| MATTHEW J WINTERS | DPT | 1124053194 |
| MALYNDA ANN CARRUTH | PT, DPT | 1366559304 |
| TAMMY IVIE | PT | 1548378672 |
| NISHITH OZA | PT | 1063511749 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.