Individual
CHRISTINE JUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
413 ALLUMBAUGH ST, STE 102, BOISE, ID 83704-9212
(208) 287-0993
(208) 287-0996
Mailing address
2033 ANDERSON ST, BOISE, ID 83702-0840
(208) 287-0993
(208) 287-0996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT1244
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010150283
REGENCE BLUE SHIELD OF ID
ID
01
—
TA500
BLUE CROSS OF IDAHO
ID
Enumeration date
01/30/2007
Last updated
12/31/2007
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