Individual
ALBERT CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, CPED
Contact information
Practice address
6319 HIGHLAND DR, HOLLADAY, UT 84121-2107
(801) 265-9339
(801) 277-7993
Mailing address
9720 S 1300 E, #W200, SANDY, UT 84094-3712
(801) 572-0690
(801) 572-0696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
104649-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104649-2401
PROFESSIONAL LICENSE
UT
Enumeration date
06/22/2006
Last updated
07/08/2007
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