Provider Demographics
NPI:1336554344
Name:CHACE, ERIKA RENEE (MS, ATC, LAT)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:RENEE
Last Name:CHACE
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1362 SCHOONER CT
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-5234
Mailing Address - Country:US
Mailing Address - Phone:407-797-5254
Mailing Address - Fax:
Practice Address - Street 1:1362 SCHOONER CT
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-5234
Practice Address - Country:US
Practice Address - Phone:407-797-5254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-27
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer