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Individual

MR. CORY A CHISOLM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1651 PULASKI HIGHWAY, BEAR, DE 19701
(302) 834-1550
(302) 834-1549
Mailing address
2329 MILTON PL, NEWARK, DE 19702-4449
(302) 229-0332

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J20000626
DE

Other

Enumeration date
05/27/2006
Last updated
07/08/2007
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