Individual
CHANDANA GANDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 3RD AVE FL 5, NEW YORK, NY 10017-4013
(212) 951-0430
Mailing address
13 OCEAN CT APT 2R, BROOKLYN, NY 11223-6045
(331) 980-1455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070026420
IL
225200000X
Physical Therapy Assistant
Primary
011560
NY
Other
Enumeration date
12/01/2019
Last updated
12/06/2024
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