Provider Demographics
NPI:1750713822
Name:MCFARLAND, CHANDRA DELYN (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHANDRA
Middle Name:DELYN
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CHANDRA
Other - Middle Name:DELYN
Other - Last Name:HARGUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:350 NEW FIDELITY CT
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-2665
Mailing Address - Country:US
Mailing Address - Phone:919-258-2714
Mailing Address - Fax:410-648-4878
Practice Address - Street 1:9 MANHATTAN SQ STE B
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-6263
Practice Address - Country:US
Practice Address - Phone:757-825-3400
Practice Address - Fax:757-825-0392
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR225100000X
VA2305208794225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1750713822OtherMEDICAID QMB
VAC05954OtherMEDICARE GROUP PTAN
VAP01366085OtherMEDICARE RAILROAD
VAC05954OtherMEDICARE GROUP PTAN