Individual
DENNIS ALPHONSUS G CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1326 MELSTONE ST, BEAUMONT, CA 92223-3258
(909) 901-3100
Mailing address
1326 MELSTONE ST, BEAUMONT, CA 92223-3258
(909) 901-3100
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
12463
CA
225XG0600X
Gerontology Occupational Therapist
46TR00515700
NJ
Other
Enumeration date
04/26/2010
Last updated
02/03/2022
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