Individual
MS. PATRICIA MARIE CHISOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 NE 14TH ST, SUITE 5, POMPANO BEACH, FL 33062-3565
(188) 888-0927
Mailing address
PO BOX 2472, BLUFFTON, SC 29910-2472
(843) 295-8863
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/02/2012
Last updated
01/02/2012
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