Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 007957 | CT |
NPI | 1194033050 |
---|---|
Provider Name | Christy Marie Chorek |
First Address | Fairfield, CT 06825-4261 |
Second Address | Fairfield, CT 06825-1078 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2010 |
Last Update Date | 14/09/2010 |