JESSE CHASE

LAWRENCEVILLE, GA
NPI1750005211
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA004639)
Enumeration Date2022-09-28
Last Update Date2022-09-28
Business Address
JESSE CHASE PTA
1404 LAWRENCEVILLE SUWANEE RD # A102
LAWRENCEVILLE, GA 30043-4331
Phone number: 678-749-0912
Mailing Address
JESSE CHASE PTA
548 TRIP ST
GRAYSON, GA 30017-7860
Phone number: