Individual
CARL ANDREW CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9630 HUNTLEY CV, PINCKNEY, MI 48169-9473
(734) 368-0247
Mailing address
9630 HUNTLEY CV, PINCKNEY, MI 48169-9473
(734) 368-0247
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/02/2018
Last updated
12/02/2018
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