Chase Smith, | |
2585 W Roosevelt Blvd # 418, Monroe, NC 28110-0418 | |
(704) 285-2806 | |
Not Available |
Full Name | Chase Smith |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 2585 W Roosevelt Blvd # 418, Monroe, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407619406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
Provider Name | Evans Physical Therapy & Sport Performance Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1144726928 PECOS PAC ID: 9335546647 Enrollment ID: O20210928003257 |
Mailing Address | Practice Location Address |
---|---|
Chase Smith, 2585 W Roosevelt Blvd # 418, Monroe, NC 28110-0418 Ph: (704) 285-2806 | Chase Smith, 2585 W Roosevelt Blvd # 418, Monroe, NC 28110-0418 Ph: (704) 285-2806 |
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