Individual
ELIZABETH CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 EUCLID AVE, DAYTONA BEACH, FL 32118-3410
(386) 214-3810
Mailing address
215 EUCLID AVE, DAYTONA BEACH, FL 32118-3410
(386) 214-3810
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13062
FL
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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