Individual
WENDY CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 ROCHEL DR, SHREVEPORT, LA 71115-3889
(318) 780-1413
Mailing address
1030 ROCHEL DR, SHREVEPORT, LA 71115-3889
(318) 780-1413
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
200688
LA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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