Individual
MISS LAURIEANN CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
709 RICE AVENUE EXT, UNION, SC 29379-8613
(864) 427-0306
Mailing address
110 ROBERTS AVE, YORK, SC 29745-1303
(716) 912-8681
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
006127-1
NY
225200000X
Physical Therapy Assistant
Primary
1898
SC
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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