Chanda Elaine Riley, PTA

NPI #1619125044 in Lake Helen, Florida

Provider Information

NPI Number: 1619125044
Entity Type: Individual
Name: Chanda Elaine Riley, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 27, 2008
Last Updated: Aug 27, 2008

Practice Location

Address: 592 JOHN ST
City: Lake Helen
State: Florida
ZIP Code: 32744-2009
Phone: (386) 624-1582

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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