Provider Demographics
NPI:1922529221
Name:TORRES, CHANDLER WITT (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CHANDLER
Middle Name:WITT
Last Name:TORRES
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CHANDLER
Other - Middle Name:ELISE
Other - Last Name:WITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:630-296-2222
Mailing Address - Fax:630-759-9510
Practice Address - Street 1:5393 S CALLE SANTA CRUZ STE 107
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85706-3556
Practice Address - Country:US
Practice Address - Phone:520-225-0129
Practice Address - Fax:520-244-0000
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13096225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist