Provider Demographics
NPI:1649949355
Name:CHANDLER, GEORGE DANIEL JR (PTA)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:DANIEL
Last Name:CHANDLER
Suffix:JR
Gender:M
Credentials:PTA
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Mailing Address - Street 1:2048 QUEEN CHARLOTTE PL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-9636
Mailing Address - Country:US
Mailing Address - Phone:336-689-4935
Mailing Address - Fax:
Practice Address - Street 1:1325 TIMBER DR E
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-6924
Practice Address - Country:US
Practice Address - Phone:919-781-4060
Practice Address - Fax:919-781-5246
Is Sole Proprietor?:No
Enumeration Date:2021-09-07
Last Update Date:2022-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NCA6345225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant