Individual
KIMBERLY CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
755 EPPS BRIDGE PKWY, ATHENS, GA 30606-6987
(706) 425-0301
Mailing address
1160 DERBY LN, BOGART, GA 30622-5911
(706) 614-8964
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001948
GA
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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