Organization
CHASE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA ALICE CHASE MPT (PRESIDENT)
(631) 566-2371
Entity
Organization
Contact information
Practice address
31 BRIARCLIFF RD, SHOREHAM, NY 11786-1431
(631) 566-2371
Mailing address
31 BRIARCLIFF RD, SHOREHAM, NY 11786-1431
(631) 566-2371
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
013056-1
NY
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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