Most Relevant Information
Provider Data
| NPI Number: | 1003199605 |
| Provider Name: | CHANTRY LAND M.ED. |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/21/2011 |
| Last Updated: | 09/21/2011 |
Provider Practice Location
2708 NE 14TH ST
SUITE 5
POMPANO BEACH
FL
330623565
Practice Location Phone/Fax
| Phone: | 8888809270 |
| Fax: |
Provider Mailing Location
720 SHORTRIDGE RD
FAYETTEVILLE
NC
283032145
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |