Individual
LORI BEIDL CHOQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4000 TULIP TREE DR, PRINCETON, IN 47670-2300
(812) 387-2938
Mailing address
PO BOX 312, POSEYVILLE, IN 47633-0312
(812) 484-9310
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002560A
IN
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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