Chandler Rives

NPI #1710507769 in Choctaw, Mississippi

Provider Information

NPI Number: 1710507769
Entity Type: Individual
Name: Chandler Rives
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Apr 20, 2020
Last Updated: Apr 20, 2020

Practice Location

Address: 135 RESIDENTIAL CENTER RD
City: Choctaw
State: Mississippi
ZIP Code: 39350-6780
Phone: (601) 389-2812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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