Individual
THERESE CHISM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45800 JONA DR, POTOMAC FALLS, VA 20165-5685
(540) 535-9313
Mailing address
231 FARRIS LN, WINCHESTER, VA 22603-2784
(540) 535-9313
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000040
VA
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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