Individual
MRS. MARLA RENISE CHANDLER-GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
730 LUNENBURG HIGHWAY, KEYSVILLE, VA 23947
(434) 736-8406
Mailing address
2172 RAMBLE RD, VIRGILINA, VA 24598-3146
(434) 575-0209
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001549
VA
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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