| NPI | 1497276737 |
|---|---|
| Other Name | JAKE CHASE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1290979) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501303407) |
| 225100000X Physical Therapist (Licence: NY 052512) | |
| 225100000X Physical Therapist (Licence: PA PT032657) | |
| 225100000X Physical Therapist (Licence: IA CP033169T) | |
| 225100000X Physical Therapist (Licence: WI CP033184T) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2024-08-10 |