| NPI | 1710548292 |
|---|---|
| Former Name | JORDAN SUE CHOHON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NE 3972) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3972) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2023-06-12 |