Mrs. Mary Jincy Chackonal, MSPT
Mrs. Mary Jincy Chackonal, MSPT is a Physical Therapist in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2013
Practice location Address checks out
3100 Club DrLawrenceville, GA 30044-2591
Phone: (770) 923-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT008253 (GA) |
|---|
Record details
| NPI number | 1124366349 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSPT |
| Sole proprietor | Yes |
| NPI enumerated | January 23, 2013 |
| Last updated in NPPES | January 23, 2013 |
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