Provider Demographics
NPI:1255784328
Name:CHOE, MIRI (DPT)
Entity type:Individual
Prefix:
First Name:MIRI
Middle Name:
Last Name:CHOE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 CRAIN HWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-4841
Mailing Address - Country:US
Mailing Address - Phone:240-419-5101
Mailing Address - Fax:240-419-5106
Practice Address - Street 1:3200 CRAIN HWY
Practice Address - Street 2:SUITE 103
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4841
Practice Address - Country:US
Practice Address - Phone:240-419-5101
Practice Address - Fax:240-419-5106
Is Sole Proprietor?:No
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist