Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 16243 | MD |
N | 2251G0304X | Physical Therapist - Geriatrics | 16243 | MD |
NPI | 1295957819 |
---|---|
Provider Name | Dr. Carolyn E. Chanoski |
First Address | Bel Air, MD 21014 |
Second Address | Baltimore, MD 21234 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 08/07/2007 |