Doctor Name: | MRS. LISA ALICE CHASE |
NPI Number: | 1285774224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 013056-1 |
Business Practice Address: | 1227-2 Montaulk Highway Oakdale, NY - 11769 |
Business Phone Number: | 6312181545 |
Business Fax Number: | |
Mailing Address: | 31 Briarcliff Rd, SHOREHAM |
State: | NY |
Postal Code: | 117861431 |
Phone Number: | 6318215334 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 013056-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |