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Jesse Chase, PTA
NPI 1750005211 · on the registry since 2022
Practice
- Address
- 1404 Lawrenceville Suwanee Rd # A102
Lawrenceville, GA 30043 - Phone
- (678) 749-0912
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia