Individual
BROOKE CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
298 S DELSEA DR, VINELAND, NJ 08360-4568
(856) 690-1616
Mailing address
352 S DELSEA DR STE C, VINELAND, NJ 08360-5306
(856) 690-1616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01948800
NJ
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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