Individual
MR. CHASE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1735 BERKELEY RD, AUGUSTA, GA 30904
(404) 788-4923
Mailing address
1735 BERKELEY RD, AUGUSTA, GA 30904-5033
(646) 292-3088
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
63020074
NY
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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