Individual
DAVID JUSTIN CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3015 ENTERPRISE DR, WILMINGTON, NC 28405-2116
(910) 791-3451
Mailing address
716 PETERSON ST APT E, RALEIGH, NC 27610-6901
(828) 773-8654
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7358
NC
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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