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NPI Code Detail

MEDICARE: MRS. CHRISTIN LEA CHORAK M.S.P.T.

MEDICARE: MRS. CHRISTIN LEA CHORAK M.S.P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT 15608CA

General Provider Information

NPI Number : 1477648103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTIN LEA CHORAK M.S.P.T.
Provider Business Mailing Address
First Line : PO BOX 470607
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94147-0607
Country : US
Telephone Number : 415-561-6655
Fax Number : 415-561-6650
Provider Business Practice Location Address
First Line : 1162B GORGAS AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94129-1406
Country : US
Telephone Number : 415-561-6655
Fax Number : 415-561-6650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 08/14/2009

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