Provider Demographics
NPI:1205087590
Name:CHABINEC, CAROL ANN (RPT)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:ANN
Last Name:CHABINEC
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 LINDALE DR
Mailing Address - Street 2:
Mailing Address - City:WEST LAWN
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1228
Mailing Address - Country:US
Mailing Address - Phone:610-670-8141
Mailing Address - Fax:
Practice Address - Street 1:2402 LINDALE DR
Practice Address - Street 2:
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-1228
Practice Address - Country:US
Practice Address - Phone:610-670-8141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-04
Last Update Date:2008-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT000810-E2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics