Individual
JENNIFER LYNE CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1119 SAXON BLVD, ORANGE CITY, FL 32763-8470
(386) 774-4404
(386) 774-4496
Mailing address
2700 PINE TREE RD NE, UNIT 2113, ATLANTA, GA 30324-5670
(404) 944-8369
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1552
AL
225200000X
Physical Therapy Assistant
Primary
24125
FL
225200000X
Physical Therapy Assistant
PTA003156
GA
Other
Enumeration date
12/10/2013
Last updated
03/19/2014
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