Individual
DR. CHASE MARK HARBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
957 FAULKNER RD STE 105, SANTA PAULA, CA 93060-9129
(805) 765-4773
Mailing address
3005 INSPIRATION DR, COLORADO SPRINGS, CO 80917-3306
(719) 290-3310
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0015939
CO
225100000X
Physical Therapist
1311120
TX
225100000X
Physical Therapist
Primary
296653
CA
225100000X
Physical Therapist
60916535
WA
Other
Enumeration date
01/11/2019
Last updated
05/21/2019
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