Individual
MELISSA CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5705 FAYETTEVILLE RD, DURHAM, NC 27713-5318
(919) 794-8008
Mailing address
2917 GROSS AVE, WAKE FOREST, NC 27587-6496
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5614
NC
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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