Jessica D Chase, PTA
Physical Therapy Assistant in Houlton, ME. Individual provider (NPI-1).
NPI number1083176853
StatusActive
Last updated in NPPESSep 22, 2022
Details
- NPI
- 1083176853
- Entity type
- Individual (NPI-1)
- Name
- Jessica D Chase
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2019
- Certification date
- Sep 22, 2022
- Last updated
- Sep 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PA4950 | ME | Yes |
Other names
- Jessica Tucker (Former Name)
Practice location
98 Bangor St Ste AHoulton, ME 04730-1603
Phone 207-521-0200 · Fax 207-521-0210
Mailing address
Po Box 164Oakfield, ME 04763-0164
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All 8 Physical Therapy Assistant providers in Houlton · All 331 providers in Houlton
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