Individual
LINDA L CHANDANAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
115 N LAKE ST, MANISTIQUE, MI 49854-1200
(906) 341-3284
Mailing address
115 N LAKE ST, MANISTIQUE, MI 49854-1200
(906) 201-4171
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004054
MI
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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