Individual
CHASE LIEBLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3454 ZAFARANO DR, SANTA FE, NM 87507-2666
(505) 216-5008
Mailing address
411 N NEW RIVER DR E APT 2401, FORT LAUDERDALE, FL 33301-8114
(954) 552-9637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2025-0291
NM
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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