Individual
TERISA CHOCKLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
242 MAIN ST, SALEM, NH 03079-2752
(603) 685-3672
Mailing address
4A MARY JO LN, DERRY, NH 03038-4622
(603) 479-7927
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3612
NH
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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