Individual
SERENITY MARIE CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1151 S MAIN ST, WAKE FOREST, NC 27587-9646
(919) 423-5677
Mailing address
1812 HILLOCK DR UNIT G, RALEIGH, NC 27612-4037
(984) 218-8603
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5466
NC
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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