Individual
JESSICA CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(609) 920-8825
Mailing address
203 S SARTAIN ST APT 2, PHILADELPHIA, PA 19107-6760
(609) 920-8825
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
225700000X
Massage Therapist
MAT-18417
HI
Other
Enumeration date
02/04/2025
Last updated
03/10/2026
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