CHANDRA DENISE HEAVEN

FAYETTEVILLE, NC
NPI1609100635
Former NameCHANDRA DENISE HEAVEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  11369)
Enumeration Date2009-09-23
Last Update Date2016-08-17
Business Address
CHANDRA DENISE HEAVEN LPT
1700 PAMALEE DR HIGHLAND HOUSE SNF
FAYETTEVILLE, NC 28301-1700
Phone number: 910-488-2295
Mailing Address
CHANDRA DENISE HEAVEN LPT
3608 CHAGFORD LN
FAYETTEVILLE, NC 28306-4619
Phone number: 301-437-0444
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