Individual
KRISTINE MARTHA CHUA MOJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 N ANCHOR WAY APT 344, PORTLAND, OR 97217-7574
(626) 379-0054
Mailing address
1055 N ANCHOR WAY APT 344, PORTLAND, OR 97217-7574
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10067
OR
225200000X
Physical Therapy Assistant
50855
CA
225200000X
Physical Therapy Assistant
P161307132
WA
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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