Individual
SUZANNE CHANDLER
Active
Individual
SUZANNE CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
130650
AK
225100000X
Physical Therapist
19882
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1688071
—
AK
Enumeration date
03/11/2013
Last updated
01/10/2019
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