Individual
CHANTELLE JERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1395 S PINELLAS AVE, TARPON SPRINGS, FL 34689-3790
(727) 943-4163
Mailing address
2547 INDIGO DR, DUNEDIN, FL 34698-6520
(772) 631-4166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT34985
FL
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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