Individual
MS. KIMBERLY CHANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(888) 757-3422
Mailing address
14210 29TH AVE SE, MILL CREEK, WA 98012-5012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60153870
WA
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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