Individual
MR. CHASE TWEDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660-7985
(949) 722-5054
Mailing address
3619 PACIFIC AVE, LONG BEACH, CA 90807-3827
(562) 424-8428
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40499
CA
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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