Individual
MRS. JACQUELINE M CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2009 CAMILLE CT, LIBERTY, MO 64068-9101
(913) 706-4126
Mailing address
2009 CAMILLE CT, LIBERTY, MO 64068-9101
(913) 706-4126
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004049
MO
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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