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Individual

MATTHEW CHASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
210 VILLAGE CENTER BLVD STE 150, MYRTLE BEACH, SC 29579-6707
(843) 353-3460
(843) 353-3461
Mailing address
210 VILLAGE CENTER BLVD STE 140, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
(843) 353-3461

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6496
SC

Other

Enumeration date
05/13/2016
Last updated
02/11/2025
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