Individual
CHANDA ELAINE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
592 JOHN ST, LAKE HELEN, FL 32744-2009
(386) 624-1582
Mailing address
592 JOHN ST, LAKE HELEN, FL 32744-2009
(386) 624-1582
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21014
FL
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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