Individual
CHANDRA E WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1059 W DIXON ST, MESA, AZ 85201-4722
(480) 404-8887
Mailing address
1059 W DIXON ST, MESA, AZ 85201-4722
(480) 404-8887
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
13007
AZ
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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