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Individual

MRS. CHRISTINE KONHZOUA VUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
3912 10TH ST SE, SUITE 101, PUYALLUP, WA 98374-2188
(253) 848-4700
(253) 848-2284
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1400610
OR
225X00000X
Occupational Therapist
Primary
OT60002446
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0291626
DEPT. OF LABOR AND INDUSTRIES
WA
05
8512717
WA
Enumeration date
05/21/2007
Last updated
07/17/2015
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