Individual
CAMERON JAY CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
2009 S MAIN ST, MOSCOW, ID 83843-8913
(208) 618-8430
Mailing address
245 SPATH RD, SEQUIM, WA 98382-7568
(360) 808-0331
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-8210
ID
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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