MR. Cory A Chisolm, PTA

NPI #1659328565 in Bear, Delaware

Provider Information

NPI Number
1659328565
Entity Type
Individual
Name
MR. Cory A Chisolm, PTA
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 27, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1651 PULASKI HIGHWAY
City
Bear
ZIP Code
19701
Phone
(302) 834-1550

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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