Individual
CHASE LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
926 JACKSON AVE, PASCAGOULA, MS 39567-4345
(228) 769-0112
Mailing address
PO BOX 1661, PASCAGOULA, MS 39568-1661
(228) 769-0112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7087
MS
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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