Individual
CHASE WATTENBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 ELMHURST DR, MADISON, IN 47250-2912
(812) 701-4418
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
06/03/2024
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