Individual
BROOKE CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
490 SANDHILL RD, GREENFIELD CENTER, NY 12833-1122
(518) 577-5586
Mailing address
490 SANDHILL RD, GREENFIELD CENTER, NY 12833-1122
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
009214-1
NY
224Z00000X
Occupational Therapy Assistant
Primary
009214-1
NY
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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