Individual
BRANDI CHESTNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4670
(886) 715-9733
Mailing address
5274 N ROLLING ACRES DR, PETERSBURG, IN 47567-8885
(812) 766-9101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004186A
IN
Other
Enumeration date
03/01/2014
Last updated
03/01/2014
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