IndividualActive
Cory Chisolm, PTA
NPI 1659328565 · Physical Therapy Assistant · Bear, DE
Provider details
- NPI number
- 1659328565
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- License
- J20000626 (DE)
Practice location
1651 Pulaski Highway
Bear, DE 19701
Phone: (302) 834-1550
Fax: (302) 834-1549
Mailing address
2329 Milton Pl
Newark, DE 19702-4449
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.