Individual
JUSTIN CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5871 HARBOUR VIEW BLVD, SUFFOLK, VA 23435-3669
(757) 512-7570
Mailing address
205 WITTENHAM DR, CARY, NC 27519-5948
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A7715
NC
225200000X
Physical Therapy Assistant
Primary
CP017149A
VA
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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