Provider Demographics
NPI:1841679172
Name:CHOMA, GEORGE JOSEPH (MPT)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:JOSEPH
Last Name:CHOMA
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18800 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-3441
Mailing Address - Country:US
Mailing Address - Phone:440-368-6493
Mailing Address - Fax:
Practice Address - Street 1:18800 WESTWOOD DR
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-3441
Practice Address - Country:US
Practice Address - Phone:440-368-6493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT.012078225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist