Individual
ANDRAYA REANER CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4169 TULANE ST, DEARBORN HEIGHTS, MI 48125-2245
(313) 208-4967
Mailing address
2171 N LOVINGTON DR APT 202, TROY, MI 48083-5811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010534
MI
225X00000X
Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
05/22/2019
Last updated
10/28/2020
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