Individual
CHANDLER GRACE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
549 FAIR ST # 61-22, BLOOMSBURG, PA 17815-1419
(570) 416-1925
(570) 387-2258
Mailing address
549 FAIR ST # 61-22, BLOOMSBURG, PA 17815-1419
(570) 416-1925
(570) 387-2258
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OT024292
PA
Other
Enumeration date
04/07/2025
Last updated
09/06/2025
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