Individual
LORI CHANELLE CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
129 S PEBBLE BEACH BLVD, SUN CITY CENTER, FL 33573-5718
(813) 633-6800
Mailing address
10420 N MCKINLEY DR, 2306, TAMPA, FL 33612
(301) 346-4120
Taxonomy
Speciality
Code
Description
License number
State
2251H1300X
Human Factors Physical Therapist
Primary
30529
FL
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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