| NPI | 1750713822 |
|---|---|
| Former Name | CHANDRA DELYN HARGUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208794) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2020-05-28 |