NPI | 1760476204 |
---|---|
Former Name | CHARA M CHOCHRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OK PT3733) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 10628) |
Enumeration Date | 2005-09-09 |
Last Update Date | 2023-08-15 |