NPI 1003199605
Chantry Land, MED
Practice location
- Address
- 2708 NE 14th St Suite 5, Pompano Beach, FL 33062-3565
- Phone
- (888) 880-9270
- Mailing address
- 720 Shortridge Rd, Fayetteville, NC 28303-2145
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1003199605
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Sep 2011
- Record last updated
- 21 Sep 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.