Provider Demographics
NPI:1013565647
Name:CHOEPHEL, TENZIN (DPT)
Entity Type:Individual
Prefix:
First Name:TENZIN
Middle Name:
Last Name:CHOEPHEL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:193 SALEM ST
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-3122
Mailing Address - Country:US
Mailing Address - Phone:617-606-1315
Mailing Address - Fax:
Practice Address - Street 1:900 HINGHAM ST
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:MA
Practice Address - Zip Code:02370-1049
Practice Address - Country:US
Practice Address - Phone:781-384-0439
Practice Address - Fax:781-795-9920
Is Sole Proprietor?:No
Enumeration Date:2019-08-27
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA24516225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist