Individual
CHASE VAN CLEAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
204 S INTERSTATE 35 STE 203, GEORGETOWN, TX 78628-4125
(512) 863-7761
Mailing address
7505 N LOOP 1604 E STE 101, LIVE OAK, TX 78233-2604
(210) 590-4000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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