Individual
CHANDANIE ETWARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
434 ACAI LN, FORT PIERCE, FL 34981-5301
(863) 257-4707
Mailing address
434 ACAI LN, FORT PIERCE, FL 34981-5301
(863) 257-4707
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19396
FL
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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