Provider Demographics
NPI:1952519555
Name:CHOCA, MARIA LENETH ERISPE (PT)
Entity Type:Individual
Prefix:
First Name:MARIA LENETH
Middle Name:ERISPE
Last Name:CHOCA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 CHESTERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:WEBB CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64870-8244
Mailing Address - Country:US
Mailing Address - Phone:417-496-2718
Mailing Address - Fax:
Practice Address - Street 1:1901 BUENA VISTA AVE
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:MO
Practice Address - Zip Code:64836-3178
Practice Address - Country:US
Practice Address - Phone:417-358-3440
Practice Address - Fax:417-359-5617
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist